To explore the availability and curative effect of the reconstruction through enlarging sauceriza-tion and Fibula Transplantation with Vascular (FTV) in the cases of chronic tibia osteomyelitis. Methods: Altogether 12 cases of chronic tibia osteomyelitis were treated by massive resection of bone, enlarging saucerization and tibia defects were reconstructed by opposite FTV. Douche and drainage-tube were inserted after operation. Results: The follow-up ranged from 2 to 3 years. Excellent results were obtained in 5 cases, good in 6, fair in 1 case. Mainly cases with tibia enlarging saucerization defects treated by reconstructive repairment were unioned satisfactory after 13 - 18 months. Walk functions were recovered. A few cases were slightly infected in wound. Observing in followed, during the union of bone defects, (ftv) fibula was plastotyped strongly and the fibula and tibia were unioned totally. Conclusions: To treat the chronic tibia osteomyelitis by enlarging saucerization and Free Fibula transplantation with vascular (FTV) should be attached feasible and satisfactory curative effect. To emphasize grasping the operation indication rightly, and the infect focus debridement were cleared suitable thoroughly. The standard administration in whole course of operation should be paid attention.
R. B. Gustilo, R. M. Mendoza and D. N. Williams. Problems in the management of type Ⅲ (severe) open fractures: A new classification of type Ⅲ open fractures. The Journal of Trauma, 1984, 24(8): 742-746.