Document Type
Journal Article
Publication Date
12-1-2016
Journal
Plastic and Reconstructive Surgery. Global Open
Volume
4
Issue
12
Inclusive Pages
e1143
DOI
10.1097/GOX.0000000000001143
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.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
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
Open Access
1
Comments
Reproduced with permission of Lippincott Williams and Wilkins. Plastic and Reconstructive Surgery - Global Open