An experiment and clinical application of transpolantation of composite vascular pedicled fibula graft to repair long bone defect / 解放军医学杂志

ABSTRACT

Objective To study the feasibility of repairing long bone defects with transplantation of vascular pedicled fibala with periosteum. Methods 72 healthy rabbits were divided randomly into three groups. Group A consisted of transplanation of single fibula, group Bwith transplantation of two fibulae without periosteum, and group C with transplanation of two fibulae with periosteum, to repair of a tibial defect of 10mm in length. Seram levels of ALP and BGP were determined, bone and mineral density were assessed by X-ray, and biomechanic index was assayed 2, 4, 8, 12, 16 weeks after the transplantation. At the same time the condition of the bone healing and contour were observed. The 34 patients, operative procedure same as in of group C was performed. Results X-ray showed that the area of external callus was larger in C group compared with groups A,B, and the bone trabeculae appeared orderly. The transplanted fibula showed significant bone hypertrophy. Serum ALP and BGP and mineral density level were higher in group C than those in groups A, B. The difference showed statistical significance (P