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Both groups were comparable in number and average age of patients, length of bone defect, and mean follow\u2010up (average 3 years both groups). The number of surgical procedures prior to microvascular grafting was significantly higher for the traumatic defects. Primary bone union in a mean period of 6 months occurred at a higher rate in the tumor patients; the trauma patients had a significantly higher nonunion rate, which required multiple additional surgical procedures. The latter did not, significantly, improve the rate of success in the trauma group. Residual limb shortening was present in one\u2010half of the patients with traumatic defects. On the basis of this review, it appears that the scarred and relatively avascular soft tissues surrounding the long bone defects secondary to trauma affect the course and the final outcome of the microvascular fibular grafting. A similar procedure applied for limb salvaging after tumor resection is better. \u00a9 1993 Wiley\u2010Liss Inc.<\/jats:p>","DOI":"10.1002\/micr.1920140603","type":"journal-article","created":{"date-parts":[[2007,3,4]],"date-time":"2007-03-04T21:35:54Z","timestamp":1173044154000},"page":"368-374","source":"Crossref","is-referenced-by-count":54,"title":["Free vascularized fibula in traumatic long bone defects and in limb salvaging following tumor resection: Comparative study"],"prefix":"10.1002","volume":"14","author":[{"given":"Konstantinos N.","family":"Malizos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Nunley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard D.","family":"Goldner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James R.","family":"Urbaniak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Harrelson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,10,19]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1302\/0301-620X.61B4.227909","article-title":"Total resection of distal femur or proximal tibia for bone tumors","volume":"61","author":"Campanacci M","year":"1979","journal-title":"J Bone Joint Surg"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198401000-00008"},{"key":"e_1_2_1_4_2","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1097\/00003086-198610000-00026","article-title":"Limb salvage and prosthetic joint reconstruction for low\u2010grade and selected high\u2010grade sarcomas of bone after wide resection and replacement by autoclaved autogenic grafts","volume":"211","author":"Harrington KD","year":"1986","journal-title":"Clin Orthop Rel Res"},{"key":"e_1_2_1_5_2","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1097\/00003086-198703000-00025","article-title":"Multistaged surgical management of post traumatic segmental tibial bone loss","volume":"216","author":"Maurer RC","year":"1987","journal-title":"Clin Orthop Rel Res"},{"key":"e_1_2_1_6_2","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1302\/0301-620X.72B1.2298802","article-title":"The age of osteosarcoma patients is increasing. 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