Non-Vascularised Fibula Graft: Hospital Sultan Ismail Experience of 6 Cases

Mohamad Afif AR, Chin ZY, Noreen FMN, Saadon Ibrahim

Abstract: Background: Non-vascularized fibular bone graft was reliable surgical method for managing bone defect after bone tumour resections. Objective(s): To review the outcome of non-vascularised fibular bone graft with bone defect after tumour resection in terms of union, time of union and complications. Method: This a case series reviewing retrospective medical record review of all patients with bone defect after bone tumour resection managed with non-vascularized fibular bone graft over 5 years in a Hospital Sultan Ismail. Results: There were 6 patients with 4 patients had union and 2 patients did not unite with median time for union was 24 weeks. One patient had stress fracture after union. Conclusions: Non vascularised fibular graft use in management of bone defect after bone tumour resections is still a good surgical option despite advancement of vascularised fibular graft.

Keywords: Non vascularised fibular bone graft, bone defect, bone tumour resection, Hospital Sultan Ismail