{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T03:46:16Z","timestamp":1789271176039,"version":"build-2803163510"},"reference-count":22,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"9","license":[{"start":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T00:00:00Z","timestamp":1409529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:p> Resection of a primary sarcoma of the diaphysis of a long bone creates a large defect. The biological options for reconstruction include the use of a vascularised and non-vascularised fibular autograft. <\/jats:p><jats:p> The purpose of the present study was to compare these methods of reconstruction. <\/jats:p><jats:p> Between 1985 and 2007, 53 patients (26 male and 27 female) underwent biological reconstruction of a diaphyseal defect after resection of a primary sarcoma. Their mean age was 20.7 years (3.6 to 62.4). Of these, 26 (49 %) had a vascularised and 27 (51 %) a non-vascularised fibular autograft. Either method could have been used for any patient in the study. The mean follow-up was 52 months (12 to 259). Oncological, surgical and functional outcome were evaluated. Kaplan\u2013Meier analysis was performed for graft survival with major complication as the end point. <\/jats:p><jats:p> At final follow-up, eight patients had died of disease. Primary union was achieved in 40\u00a0patients (75%); 22 (42%) with a vascularised fibular autograft and 18 (34%) a non-vascularised (p = 0.167). A total of 32 patients (60%) required revision surgery. Kaplan\u2013Meier analysis revealed a mean survival without complication of 36 months (0.06 to 107.3, sd 9) for the vascularised group and 88 months (0.33 to 163.9, sd 16) for the non-vascularised group (p = 0.035). <\/jats:p><jats:p> Both groups seem to be reliable biological methods of reconstructing a diaphyseal bone defect. Vascularised autografts require more revisions mainly due to problems with wound healing in distal sites of tumour, such as the foot. <\/jats:p><jats:p> Cite this article: Bone Joint J 2014;96-B:1258\u201363. <\/jats:p>","DOI":"10.1302\/0301-620x.96b9.33230","type":"journal-article","created":{"date-parts":[[2014,9,2]],"date-time":"2014-09-02T14:23:37Z","timestamp":1409667817000},"page":"1258-1263","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":63,"title":["Vascularised or non-vascularised autologous fibular grafting for the reconstruction of a diaphyseal bone defect after resection of a musculoskeletal tumour"],"prefix":"10.1302","volume":"96-B","author":[{"given":"R.","family":"Schuh","sequence":"first","affiliation":[{"name":"Medical University of Vienna, Department\rof Orthopaedics, Waehringer Guertel 18 to 20, Vienna, 1090, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Panotopoulos","sequence":"additional","affiliation":[{"name":"Medical University of Vienna, Department\rof Orthopaedics, Waehringer Guertel 18 to 20, Vienna, 1090, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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