TY - JOUR
T1 - Near-complete humerus reconstruction in the pediatric patient with vascularized free fibula transfer
AU - Shuck, John
AU - Wood, Benjamin C.
AU - Zarella, Christopher
AU - Oh, Albert K.
AU - Henshaw, Robert M.
AU - Rogers, Gary F.
N1 - Publisher Copyright:
Copyright © 2016 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
PY - 2016
Y1 - 2016
N2 - 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.
AB - 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.
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U2 - 10.1097/GOX.0000000000001143
DO - 10.1097/GOX.0000000000001143
M3 - Article
AN - SCOPUS:85061569080
VL - 4
JO - Plastic and reconstructive surgery. Global open
JF - Plastic and reconstructive surgery. Global open
SN - 2169-7574
IS - 12
M1 - e1143
ER -