Vascularised fibular graft for a radial defect following tumour excision in a tertiary institution in Nigeria

Abstract

Background: Options for bridging large segmental bone defects following trauma or surgical resection are numerous. Various methods have been described and tried out, each having its advantages and drawbacks. In developing countries, the choices are limited due to unavailability and high cost of sophisticated implants and materials, and the relative lack of expertise to carry out some of these procedures. This case report highlights the feasibility of the use of a free vascularised fibular graft to bridge a large radial bony defect following tumour resection at a tertiary hospital in Nigeria.

Case report: Mr J. A, a 30 year old businessman, had an excision biopsy of a mass originating from his distal right radius. The histopathology report confirmed it to be an aneurismal bone cyst. He was however left with a large (approximately 10cm) radial defect, which was subsequently bridged with a vascularised fibular graft. Post operatively, his hand and wrist functions were satisfactory.

Conclusion: Free vascularised fibular graft is a viable option for bridging large bone defects in developing countries. As long as the expertise is available, it is less complicated and more economical than other advanced methods. It has fewer drawbacks when compared with the methods currently in use in our environment.

Keywords: Bone graft, Bone defects, Vascularised Graft, Fibular