National Repository of Grey Literature 1 records found  Search took 0.03 seconds. 
Assesment of vitality of the vascularized fibular graft in intercalary defect reconstructions using Capanna technique
Lesenský, Jan ; Matějovský, Zdeněk (advisor) ; Trč, Tomáš (referee) ; Tomáš, Tomáš (referee)
INTRODUCTION: The reconstruction of the femoral diaphysis following bone tumor resection is challenging. While massive bone allografts are traditional, they carry risks due to avitality, leading to issues like infection and structural failure. Combining these with a vascularized fibula was proposed to solve these issues. However multiple complications including fibular graft necrosis exist. Currently, there's no reliable early postoperative technique to assess viability of the fibula, which is essential in management of complications. Also the superiority of this complex method compared to others is uncertain. STUDY OBJECTIVE: This study aims to introduce a noninvasive technique to determine fibula viability based on CT densitometry. Correlation of clinical outcomes with imaging studies is used to define predictive factors of fibular vitality. Results of combined grafts is tested against other reconstruction methods. MATERIAL AND METHODS: We prospectively collected data from 41 patients over ten years, all undergoing femoral diaphysis reconstruction post-tumor resection. Ten patients received a combined graft and underwent regular CT scans, which were then analyzed densitometrically to find objective signs of fibula vitality related to clinical outcomes. RESULTS: Our analysis confirmed that...

Interested in being notified about new results for this query?
Subscribe to the RSS feed.