Title: Study on use of Nonvascularized Autologous Fibular Strut Graft with Autologous Cancellous Bone Graft for Treating Segmental Bone Defects of Upper Limb
Authors: Dr Kosuri Krishna Karthik, Dr B. Raviteja, Dr M. Pardhasaradhi
Introduction: Non vascularized fibula strut graft provides a reliable means of treating pathologic conditions with segmental bone loss in developing countries where vascularized bone transfers, bone transport, allogenic bone grafts, bone graft substitutes and other such facilities or expertise may not be readily available.
Materials and Methods: Over a period of two years 12 patients with segmental bone loss either from trauma, deformity, nonunion or oncologic resection was included in the study.
Result: we observed uptake of graft, infection rate, union. Union is achieved in 8 patients. Non union in 3 patients with humeral defects and in 1 patient due to infection. All the forearm defects achieved union with a average grip strength of 82% in relation to contralateral limb.
Conclusion: Autologous free, non-vascularized fibula is a useful addition in developing countries attempting to manage segmental bone loss
Keywords: Fibular graft, Nonunion, Nerve injury.