Lengthening in free vascularized fibular graft.
Hand Clin
; 15(4): 585-8, viii, 1999 Nov.
Article
em En
| MEDLINE
| ID: mdl-10563262
ABSTRACT
A free vascularized fibular bone transfer was successfully performed in a 1-year-old child to reconstruct the loss of the right humeral shaft following neonatal osteomyelitis. Subsequent growth of the child resulted in gross arm length discrepancy, with associated functional deficits. Callostatic distraction-lengthening of the vascularized fibular graft was carried out to compensate for this limb length discrepancy by using an Ilizarov external fixator. Lengthening of 6 cm over a 3-month period, representing a 75% increase in the original length of the transplanted fibula, was achieved. Active bone regeneration, good corticalization and endosteal medullary cavity formation was observed in the lengthened fibula. The combined modalities of vascularized bone transfer and Ilizarov callostatic distraction-lengthening offer a solution for reconstruction for large segmental bone loss associated with growth arrest of the epiphyseal plates in children.
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Base de dados:
MEDLINE
Assunto principal:
Osteogênese por Distração
/
Fíbula
/
Úmero
Limite:
Female
/
Humans
/
Infant
Idioma:
En
Revista:
Hand Clin
Assunto da revista:
ORTOPEDIA
Ano de publicação:
1999
Tipo de documento:
Article
País de afiliação:
Singapura