Composite-Free Vascularized Fibular Epiphyseal Flap and Proximal Humeral Allograft for Proximal Humerus Reconstruction in a Pediatric Patient

Tumors involving the epiphysis in children present a reconstructive challenge. A free vascularized fibula epiphyseal transfer offers a means for biological reconstruction and longitudinal growth; however, it is often complicated by graft fracture and limited shoulder motion. Here, we present a case...

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Detalles Bibliográficos
Autores principales: Houdek, Matthew T., Wellings, Elizabeth P., Saifuddin, Hiba, Moran, Steven L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8265871/
https://www.ncbi.nlm.nih.gov/pubmed/34232929
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00009
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author Houdek, Matthew T.
Wellings, Elizabeth P.
Saifuddin, Hiba
Moran, Steven L.
author_facet Houdek, Matthew T.
Wellings, Elizabeth P.
Saifuddin, Hiba
Moran, Steven L.
author_sort Houdek, Matthew T.
collection PubMed
description Tumors involving the epiphysis in children present a reconstructive challenge. A free vascularized fibula epiphyseal transfer offers a means for biological reconstruction and longitudinal growth; however, it is often complicated by graft fracture and limited shoulder motion. Here, we present a case of a composite structural allograft with free vascularized fibula epiphyseal transfer for proximal humeral reconstruction. At 27-month follow-up, there was longitudinal growth, hypertrophy of the epiphysis, shoulder function which allowed activities of daily living, and no graft fracture.
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spelling pubmed-82658712021-07-12 Composite-Free Vascularized Fibular Epiphyseal Flap and Proximal Humeral Allograft for Proximal Humerus Reconstruction in a Pediatric Patient Houdek, Matthew T. Wellings, Elizabeth P. Saifuddin, Hiba Moran, Steven L. J Am Acad Orthop Surg Glob Res Rev Case Report Tumors involving the epiphysis in children present a reconstructive challenge. A free vascularized fibula epiphyseal transfer offers a means for biological reconstruction and longitudinal growth; however, it is often complicated by graft fracture and limited shoulder motion. Here, we present a case of a composite structural allograft with free vascularized fibula epiphyseal transfer for proximal humeral reconstruction. At 27-month follow-up, there was longitudinal growth, hypertrophy of the epiphysis, shoulder function which allowed activities of daily living, and no graft fracture. Wolters Kluwer 2021-07-07 /pmc/articles/PMC8265871/ /pubmed/34232929 http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00009 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Houdek, Matthew T.
Wellings, Elizabeth P.
Saifuddin, Hiba
Moran, Steven L.
Composite-Free Vascularized Fibular Epiphyseal Flap and Proximal Humeral Allograft for Proximal Humerus Reconstruction in a Pediatric Patient
title Composite-Free Vascularized Fibular Epiphyseal Flap and Proximal Humeral Allograft for Proximal Humerus Reconstruction in a Pediatric Patient
title_full Composite-Free Vascularized Fibular Epiphyseal Flap and Proximal Humeral Allograft for Proximal Humerus Reconstruction in a Pediatric Patient
title_fullStr Composite-Free Vascularized Fibular Epiphyseal Flap and Proximal Humeral Allograft for Proximal Humerus Reconstruction in a Pediatric Patient
title_full_unstemmed Composite-Free Vascularized Fibular Epiphyseal Flap and Proximal Humeral Allograft for Proximal Humerus Reconstruction in a Pediatric Patient
title_short Composite-Free Vascularized Fibular Epiphyseal Flap and Proximal Humeral Allograft for Proximal Humerus Reconstruction in a Pediatric Patient
title_sort composite-free vascularized fibular epiphyseal flap and proximal humeral allograft for proximal humerus reconstruction in a pediatric patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8265871/
https://www.ncbi.nlm.nih.gov/pubmed/34232929
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00009
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