This book covers the crucial topic of non-vascularised fibular grafts, which have been used with variable success. However, their qualitative ability to unite with the host bone has been debatable.The author conceived the concept of enhanced viability of the non-vascularised fibular grafts in 1970 by their 'immediate fixation' to the host bone. In this way, the graft experiences only a Transient ischemia, and many osteoblasts survive the transplantation. This allows the graft to bath in the patient's blood, which no doubt provides immediate nutrition to the surviving cells on/in the graft and thus adds to the quality of the graft. Twin fibular struts also add to the quantity of the graft, even at the host-graft junction, for early union. Since the twin fibular struts are put together, a 'lateral union' takes place between the struts throughout the length of the graft. The proposed book also carries a message on most common clinical conditions where non-vascularised fibular grafts have been used with enhanced viability, as described earlier. Maternal fibular struts have also been used to successfully manage some uncommon but challenging diseases like congenital pseudoarthrosis of the tibia. This reference book serves the undergraduate and postgraduate examination-going students of Orthopaedics and Radiology and faculty members.

Presents the enhanced quality and quantity of twin fibular graft fixation with 'lateral-union' Covers all the advantages of the non-vascularised fibular grafts used to bridge the gap in massive bone defects Uniquely identifies a large number of fibular grafts used in various clinical situations

Autorentext

Dr.(Prof.) Surender Singh Yadav is a Renowned Orthopedic Surgeon. He is the founder-director of PGIMS in Rohtak and the director of medical Education in Haryana. Dr. Yadav obtained his MBBS from SMS Medical College, Jaipur, and MS in Orthopaedics from Delhi University, Delhi. He has been a medical teacher in many post-graduate institutions in the country. His original/innovative biological research has been published in ACE Journals like the JBJS (Am.). His research work, particularly on Non-vascularised fibular grafts, has been widely appreciated by world leaders. He was the past president of the Indian Orthopaedic Association in 1992. Recipient of 18 National and 8 International Academic Awards, including the 'Sher-e-Bangla National Gold Medal' from Dhaka (Bangladesh). Dr.B.C.Roy (Major) Award as 'Eminent Medical Man'1995 by the President. Conferred Hon.D.Litt earned a degree in 2013 from the Health University, Chattisgarh. As a unique distinction, the Five Hon'ble Presidents of India have honored Prof. Yadav. Prof. Yadav with Padamshri in 2008.

Inhalt

Chapter 1: General Consideration.- Chapter 2: History of Bone Grafts.- Chapter 3: Basic Science and Biology of bone grafts.- Chapter 4: The existing concept of non-vascularised fibular grafts (NVFG).- Chapter 5: Enhanced viability of the NVFG.- Chapter 6: Twin fibular grafts with concept of 'Lateral-Union'.- Chapter 7: Harvesting and fixation of the NVFG.- Chapter 8: Remodelling of the NVFG.- Chapter 9: Vascularised fibular grafts (VFG)Our experiences with improved quality and quantity of the NVFG in various clinical conditions.- Chapter10: Post-Bone tumour excision gaps.- Chapter 11: Post-infective bone gaps.- Chapter 12: Post-Traumatic bone gaps.- Chapter 13: Fibular graft as bony cavity filler after curettage in benign bone tumours.- Chapter 14: Twin fibular grafts for the management of femoral neck fractures.- Chapter 15: Biological intra-medullary nail with osteogenic advantage.- Chapter 16: NVFG to achieve arthrodesis in difficult clinical situations.- Chapter 17: Twin NVFG for Spinal stabilization.- Chapter 18: Maternal fibular graft in children with pseudoarthrosis.- Chapter 19: Tibialization of the fibula.