Near-complete humerus reconstruction in the pediatric patient with vascularized free fibula transfer

John Shuck, Benjamin C. Wood, Christopher Zarella, Albert K. Oh, Robert M. Henshaw, Gary F. Rogers

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Vascularized free fibula transfer remains the gold standard for reconstruction of large segmental diaphyseal defects of the upper extremity. In the pediatric patient, before skeletal maturity, free fibula transfer with the fibular head provides an active physis for growth and an articular interface for glenohumeral joint reconstruction. Clinical and cadaveric studies have demonstrated that the vascular supply to the fibular head originates, in most cases, from the anterior tibial system. However, anatomical variation exists, and we report a case in which a vascularized fibula autograft including the physis was transferred on the peroneal artery in a 5-year-old patient with Ewing's sarcoma. At 15-month follow-up, the patient has functional range of motion of the shoulder.

Original languageEnglish (US)
Article numbere1143
JournalPlastic and Reconstructive Surgery - Global Open
Volume4
Issue number12
DOIs
StatePublished - 2016

ASJC Scopus subject areas

  • Surgery

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