Osteosynthesis of infected and impaired growth of the femur with vascularized fibular graft]

The authors present the causes of difficulties arising during treatment of infected non-unions. Much attention was paid to the unique character of the infection in the thigh and the technical problems related to it. The role of vascularized bone grafts was emphasised. Different possibilities of surgical treatment of bone loss in different localisations were presented basing on clinical material of 7 patients. The authors used various osteosynthesis techniques, most frequently external fixators. Graft healing anf remodelling with different kind of fixators is discussed. The frequency of graft fractures was stressed. The differences in the healing of graft fractures and normal fractures was discussed. The need of suitable elasticity of the external fixator for the correct healing of the transplant and its remodelling was emphasised.