Vascularized Pedicled Fibula for Pediatric Tibia Reconstruction.


Journal

Journal of orthopaedic trauma
ISSN: 1531-2291
Titre abrégé: J Orthop Trauma
Pays: United States
ID NLM: 8807705

Informations de publication

Date de publication:
01 08 2021
Historique:
accepted: 05 05 2021
entrez: 6 7 2021
pubmed: 7 7 2021
medline: 7 8 2021
Statut: ppublish

Résumé

This video reviews the technique of a vascularized fibula flap for pediatric tibia reconstruction. A 4-year-old boy with a history of a left tibial infected nonunion status after multiple debridements presented with segmental bone loss and difficulty with ambulation. An ipsilateral vascularized fibula flap was used for reconstruction. The patient proceeded to union and was independently ambulatory with bracing.

Identifiants

pubmed: 34227610
doi: 10.1097/BOT.0000000000002163
pii: 00005131-202108002-00026
doi:

Types de publication

Case Reports Journal Article Video-Audio Media

Langues

eng

Sous-ensembles de citation

IM

Pagination

S48-S49

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors report no conflict of interest.

Références

Sales de Gauzy J, Fitoussi F, Jouve JL, et al. Traumatic diaphyseal bone defects in children. Orthop Traumatol Surg Res. 2012;98:220–226.
Keating JF, Simpson AHRW, Robinson CM. The management of fractures with bone loss. J Bone Jt Surg Ser B. 2005;87:142–150.
Morelli I, Drago L, George DA, et al. Managing large bone defects in children: a systematic review of the “induced membrane technique. J Pediatr Orthop B. 2018;27:443–455.
Ruiz-Moya A, Lagares-Borrego A, Sicilia-Castro D, et al. Pediatric extremity bone sarcoma reconstruction with the vascularized fibula flap: observational study assessing long-term functional outcomes, complications, and survival. J Plast Reconstr Aesthetic Surg. 2019;72:1887–1899.
Urbaniak JR, Coogan PG, Gunneson EB. Treatment of osteonecrosis of the femoral head with free vascularized fibular grafting. A long-term follow-up study of one hundred and three hips. J Bone Jt Surg. 1995;77:681–694.
Steinlechner CWB, Mkandawire NC. Non-vascularised fibular transfer in the management of defects of long bones after sequestrectomy in children. J Bone Jt Surg Ser B. 2005;87:1259–1263.
Li P, Fang Q, Qi J, et al. Risk factors for early and late donor-site morbidity after free fibula flap harvest. J Oral Maxillofac Surg. 2015;73:1637–1640.
Houdek MT, Wagner ER, Stans AA, et al. What is the outcome of allograft and intramedullary free fibula (capanna technique) in pediatric and adolescent patients with bone tumors? Clin Orthop Relat Res. 2016;474:660–668.
McCullough MC, Arkader A, Ariani R, et al. Surgical outcomes, complications, and long-term functionality for free vascularized fibula grafts in the pediatric population: a 17-year experience and systematic review of the literature. J Reconstr Microsurg. 2020;36:386–396.
Moran SL, Shin AY, Bishop AT. The use of massive bone allograft with intramedullary free fibular flap for limb salvage in a pediatric and adolescent population. Plast Reconstr Surg. 2006;118:413–419.

Auteurs

Suman Medda (S)

Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC.

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