Usefulness OF FIBULAR GRAFTS IN VARIOUS ORTHOPAEDIC INDICATIONS

Dr. Sarkelwad Pramod Shankarrao; Dr Sudhir  Sharan; Dr Arvind Goregaonkar

Volume : V, Issue : III, March - 2016

Usefulness OF FIBULAR GRAFTS IN VARIOUS ORTHOPAEDIC INDICATIONS

Dr. Sarkelwad Pramod Shankarrao, Dr Sudhir Sharan, Dr Arvind Goregaonkar

Abstract :

Objectives: To study the results of using fibular autograft & its effects on fracture union in various orthopaedic conditions and to study the clinical, functional and radiological outcomes of using fibular autografts. Methods: Prospective study was of 30 patients fulfilling inclusion and exclusion criterias were included in the study and subjected to a detailed clinical, radiological and functional evaluation, clinical photography and were monitored with periodical xrays postoperatively for 9 months Results:. By the end of 1 month, 14 cases (46.66%) showed radiological evidences of signs of union, in the form of callus & new bone formation and formation of bony trabeculae and also FG hypertrophy. By the end of the 3 months, 19 cases (63.33%) were either in union or united. 25 cases (83.33%) showed radiographic evidences of bony union by the end of 6 months. By the end of the 9 months, we achieved bony union and good incorporation of FG in 26 patients (86.66%) and 4 (13%) patients went into non-union. Conclusions Non vascularized fibular graft is a simple procedure that is still useful to idge bone defects; it takes longer duration to achieve union but if used in selected patients with good vascular bed and soft tissue coverage, can yield comparable results to vascularized fibular Also donor site complications are minimal. The procedure should be avoided when the recipient bed is not ideal.