[Complications of non vascularised fibular bone grafts]

ABSTRACT

Non Vascularized fibular Bone Grafts are considered one of the most method used in limp sparing surgery. This study aims to knowledgement the early and later complications of the Non Vascularized fibular grafts in bone reconstruction following bone tumor resection. The retrospective study was performed at 40 patients with malignant and benign tumors, the study lasted from January 2007 to January 2011. During this period 40 surgical operation were performed. This study depends on the arshef of bone Tumors unit- Albairouni hsspital. from early complication one superfacial infection [2.5%], two cases of peroneal nerve paralysis [5%] two cases of alternation of the gait [5%], one case of valgus deformity [2.5%]. The later complication include 8 cases of stress fracture [20%], 6 cases of late union [15%] 6 cases of bone absorbtion [15%] and 4 cases non union of bone graft [15%]. The number of malignant bone tumors were 24 [60%] and the benign bone tumors were 16 [40]. The non vascularized fibula graft is a good choice and available after ablation bone tumor in the defects below 6 cm and acceptable in the clefects which measure from 7-10cm but this choice not good in the defects that increase than 10cm