{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T07:14:43Z","timestamp":1791962083644,"version":"4.3.4"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to evaluate the results and complications of free vascularized fibular grafting (FVFG) for the reconstruction of bone defects in Gustilo Type 3 open tibia fractures. \\r\\nMethods: Free vascularized fibular grafting was performed on open tibia fractures with a bone defect of an average of 10 (range: 6 to 18) cm in 21 patients (19 males, 2 females; mean age: 32 years; range: 16 to 47 years). Primary FVFG was performed for 15 patients with open fractures and secondary FVFG in 6 patients with osteomyelitis due to open fractures or defective nonunions. Bony unions were evaluated retrospectively. At a mean follow-up time of 74 (range: 18 to 216) months, 18 patients were examined for malalignment, shortness, and range of motion. Quality of life was evaluated using the Short Form 36 (SF-36). \\r\\nResults: Mean bony union times for the proximal and distal fibula were 19 (range: 16 to 24) weeks and 20 (range: 16 to 28) weeks, respectively. Proximal nonunion was detected in three patients. Mean external fixation removal time was 6.3 (range: 3 to 14) months. Stress fractures occurred in 15 patients following fixator removal. Malalignment of over 5 degrees was detected in 7 patients and shortness over 2 cm was detected in 4 patients. SF-36 scores were significantly lower in the domains of physical functioning, role limitation due to physical problems, bodily pain, general perception of health, social function, and role limitation due to emotional problems. Mental health, energy and vitality were similar to the healthy reference group.\\r\\nConclusion: Free vascularized fibular grafting appears to be a reliable and effective method for reconstructing bone defects and soft tissue defects in a single session in open tibia fractures.\n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 Gustilo Tip 3 a\u00e7\u0131k tibia k\u0131r\u0131klar\u0131 sonras\u0131 geli\u015fen kemik defektlerinin serbest damarl\u0131 fibula grefti (SDFG) ile rekonstr\u00fcksiyonunun sonu\u00e7lar\u0131n\u0131 ve komplikasyonlar\u0131n\u0131 de\u011ferlendirmekti.\\r\\n\u00c7al\u0131\u015fma plan\u0131: A\u00e7\u0131k tibia k\u0131r\u0131\u011f\u0131 nedeniyle ortalama ya\u015f\u0131 32 (da\u011f\u0131l\u0131m: 16-47) olan 21 hastaya (19 erkek, 2 kad\u0131n) ortalama 10 (da\u011f\u0131l\u0131m: 6-18) cm\u2019lik kemik defekti i\u00e7in SDFG uyguland\u0131. Hastalar\u0131n 15\u2019ine a\u00e7\u0131k k\u0131r\u0131k sonras\u0131 primer, 6\u2019s\u0131na a\u00e7\u0131k k\u0131r\u0131k sonras\u0131 geli\u015fen osteomiyelit veya defektli kaynamama nedeni ile sekonder SDFG yap\u0131ld\u0131. Kemik kaynamalar\u0131 geriye d\u00f6n\u00fck olarak de\u011ferlendirildi. On sekiz hastan\u0131n ortalama 74 (da\u011f\u0131l\u0131m: 18-216) ayl\u0131k takip s\u00fcrecinde dizilim kusuru, k\u0131sal\u0131k, hareket a\u00e7\u0131kl\u0131\u011f\u0131 incelendi. Ya\u015fam kalitesi K\u0131sa Form 36 (KF-36) ile sorguland\u0131.\\r\\nBulgular: Kaynama zaman\u0131 proksimal fibulada ortalama 19 (da\u011f\u0131l\u0131m: 16-24), distal fibulada ise 20 (da\u011f\u0131l\u0131m: 16-28) hafta idi. \u00dc\u00e7 hastada proksimalde kaynamama saptand\u0131. Ortalama eksternal fiksat\u00f6r \u00e7\u0131karma zaman\u0131 6.3 (da\u011f\u0131l\u0131m: 3-14) ay idi. Fiksat\u00f6r \u00e7\u0131kar\u0131ld\u0131ktan sonra 15 hastada stres k\u0131r\u0131\u011f\u0131 saptand\u0131. Yedi hastada 5\u00b0 \u00fczerinde dizilim kusuru, 4 hastada 2 cm \u00fczerinde k\u0131sal\u0131k saptand\u0131. KF-36 skorlar\u0131nda fiziksel fonksiyon, fiziksel rol k\u0131s\u0131tl\u0131l\u0131\u011f\u0131, v\u00fccut a\u011fr\u0131s\u0131, genel sa\u011fl\u0131k alg\u0131s\u0131, sosyal fonksiyon ve emosyonel rol k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 anlaml\u0131 d\u00fczeyde toplum de\u011ferlerinin alt\u0131nda bulunur iken, mental sa\u011fl\u0131k ve ya\u015fam enerjisi de\u011ferleri toplumdan farkl\u0131 bulunmad\u0131.\\r\\n\u00c7\u0131kar\u0131mlar: Serbest damarl\u0131 fibula grefti a\u00e7\u0131k tibia k\u0131r\u0131klar\u0131nda kemik defektlerinin ve yumu\u015fak doku defektlerinin tek seansta rekonstr\u00fcksiyonunda g\u00fcvenilir ve etkili bir y\u00f6ntemdir.<\/jats:p>","DOI":"10.3944\/aott.2012.2876","type":"journal-article","created":{"date-parts":[[2013,2,25]],"date-time":"2013-02-25T03:50:13Z","timestamp":1361764213000},"page":"430-437","source":"Crossref","is-referenced-by-count":22,"title":["Free vascularized fibular grafts in Type 3 open tibia fractures"],"prefix":"10.5152","volume":"46","author":[{"given":"Kemal","family":"Ozaksar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahir","family":"S. Sugun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tulgar","family":"Toros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf","family":"Gurbuz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Kayalar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuat","family":"Ozerkan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2662\/2617","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:25:58Z","timestamp":1763465158000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2662"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2012,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2012.2876","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}