Near-complete humerus reconstruction in the pediatric patient with vascularized free fibula transfer
Document Type
Journal Article
Publication Date
1-1-2016
Journal
Plastic and Reconstructive Surgery - Global Open
Volume
4
Issue
12
DOI
10.1097/GOX.0000000000001143
Abstract
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. 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.
APA Citation
Shuck, J., Wood, B., Zarella, C., Oh, A., Henshaw, R., & Rogers, G. (2016). Near-complete humerus reconstruction in the pediatric patient with vascularized free fibula transfer. Plastic and Reconstructive Surgery - Global Open, 4 (12). http://dx.doi.org/10.1097/GOX.0000000000001143