Do stress fractures induce hypertrophy of the grafted fibula? A report of three cases received free vascularized fibular graft treatment for tibial defects

Yong Qi; Hong-Tao Sun; Yue-Guang Fan; Fei-Meng Li; Zhou-Sheng Lin

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Do stress fractures induce hypertrophy of the grafted fibula? A report of three cases received free vascularized fibular graft treatment for tibial defects

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The presence of large segmental defects of the diaphyseal bone is challenging for orthopedic surgeons.Free vascularized fibular grafting (FVFG) is considered to be a reliable reconstructive procedure.Stress fractures are a common complication following this surgery,and hypertrophy is the main physiological change of the grafted fibula.The exact mechanism of hypertrophy is not completely known.To the best of our knowledge,no studies have examined the possible relationship between stress fractures and hypertrophy.We herein report three cases of patients underwent FVFG.Two of them developed stress fractures and significant hypertrophy,while the remaining patient developed neither stress fractures nor significant hypertrophy.This phenomenon indicates that a relationship may exist between stress fractures and hypertrophy of the grafted fibula,specifically,that the presence of a stress fracture may initiate the process of hypertrophy.

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《中华创伤杂志（英文版）》 |2016年第3期|179-181|共3页
作者
Yong Qi; Hong-Tao Sun; Yue-Guang Fan; Fei-Meng Li; Zhou-Sheng Lin;
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Department of Orthopaedics,Guangdong Second People's Hospital,Guangzhou 510317,China;

Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China;

Department of Orthopaedics,Guangdong Second People's Hospital,Guangzhou 510317,China;

Department of Orthopaedics,The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China;

Department of Orthopaedics,Guangdong Second People's Hospital,Guangzhou 510317,China;

Department of Orthopaedics,Guangdong Second People's Hospital,Guangzhou 510317,China;

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Do stress fractures induce hypertrophy of the grafted fibula? A report of three cases received free vascularized fibular graft treatment for tibial defects

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