Abstract

REVELO JIRON, E.. Tibial reconstruction: ipsilateral soleus-fibula transfer. Fibular tibialization. Cir. plást. iberolatinoam. [online]. 2009, vol.35, n.4, pp.291-301. ISSN 1989-2055.

Fibular flaps such as in there free form or as ipsilateral transfers have been proposed for reconstruction of large tibial defects. Several modifications have been described for the use of this flap. In this study we will present our experience using the ipsilateral transfer of an osteomuscular soleous fibular flap for open tibial defect, the bony consolidation was achived with the fibular tibialization. Ipsilateral osteomuscular soleous fibular- flap with an antegrade or retrograde flow was used in the reconstruction of a series of 14 patients with large tibial and soft tissue defects, 13 males and 1 woman. The average age was 30 years. Twelve were injured in motor vehicle accidents one sustained a gun shot wound and the last one sustained injury with home made explosive device. The average tibial defect was 9.5 cm. The decision of doing an ipsilateral transfer flap was due to the inadequate infrastructure of the hospital to perform a free flap. The series was undertaken during the period of april 1995 to april of 2005. All the flaps survived but 2 patients developed a pseudoarthrosis. Bony consolidation was achived in a average time of 9 months. Follow-up time was of 3 to 6 years. Twelve patients kept there limbs intact and were reincorporated to there routine lifes. In this paper we discussed some practical aspects of the surginal techniques. We think that this method of reconstruction of large tibial defects is reliable and easy to perform with exellent results.

Keywords : Fibular tibilization; Tibial reconstruction.

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