Vascularized proximal fibular epiphyseal transfer: two cases.
Orthop Traumatol Surg Res
; 98(6): 728-32, 2012 Oct.
Article
em En
| MEDLINE
| ID: mdl-23000036
ABSTRACT
Vascularized proximal fibular epiphyseal transfer in children enables reconstruction of long-bone epiphyseal defect, while conserving axial growth potential. This technique was applied in two children for diaphyseal-epiphyseal reconstruction of the proximal humerus and distal radius respectively, using a graft vascularized only by the anterior tibial artery. There were no major complications during harvesting. Both cases showed transplant growth, of a mean 0.5cm/year. Joint function in the proximal humerus reconstruction was satisfactory, with functional range of motion. In the distal radius reconstruction, range of motion was almost zero; insufficient transplant growth induced radial club hand, requiring partial correction by progressive lengthening using an external fixator. In case of severe bone loss, fibular epiphyseal-diaphyseal graft vascularized only by the anterior tibial artery is a feasible attitude.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Rádio (Anatomia)
/
Retalhos Cirúrgicos
/
Doenças Ósseas
/
Transplante Ósseo
/
Procedimentos de Cirurgia Plástica
/
Epífises
/
Fíbula
/
Úmero
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Orthop Traumatol Surg Res
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
França