FIBULA FREE FLAP AND FLAP OF MEDIAL CONDYLE OF FEMUR: COMPARISON OF FUNCTIONS OF DONOR LOWER EXTREMITIES IN THE LATE POSTOPERATIVE PERIOD

The aim of the study was to evaluate the results of using free vascularized autogenous bones of the fibular bone and medial femoral condyle as donor sites from the viewpoint of functional ability of lower extremities in the late postoperative period. Material and methods. The study included 25 patients who underwent surgery in the period from 2010 to 2016 for bone defects of upper extremity: 12 patients after plastics with autogenous bones of the fibular bone and 13 patients after plastics of medial femoral condyle. Flaps were used for reconstruction of humerus, ulnar bone, scaphoid, and semilunar bone. The sizes of transplanted bone fragments and complains of the patients in the late postoperative period were analyzed. In addition, long-term functional results were evaluated with the Lower Extremity Functional Scale (LEFS - Binkley, 1999). Results. As a result of the analysis, no significant correlation was found between the size of autogenous bones and complains of the patients, between the chosen donor site and formation of edema, between postoperative time and complains of the patient, and between the chosen donor site and functionality of the lower extremity. Вопросы реконструктивной и пластической хирургии № 3 (62) сентябрь’2017 22 Саутин М.Е., Газимиева Б.М., Бушуев О.М. и др. Conclusions. The study has shown that there is no significant difference between the use of fubular bone and medial femoral condyle as a donor of autogenous bones from the viewpoint of subjective function of lower extremities.

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