Abstract:
:Several microsurgical techniques have been described for the treatment of osteonecrosis of the talus (ONT). Recently reported in children, vascularized periosteal grafts showed promising revascularizing properties. We report a novel technique using a pedicled periosteal graft from the first metatarsal bone to treat steroid-induced early Ficat-Arlet stage III ONT in an 11-year-old boy. The patient presented initial favorable clinical and radiological results which were maintained at 34 months during the last follow-up. Through this original technique, and basing on the powerful osteogenic and vasculogenic propreties of periosteal flaps, we could effectively induce bone revascularization and prevent further collapse of the talar dome.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Soldado F,Barrera-Ochoa S,Fontecha CG,Haddad S,Barastegui D,Barber I,Rego Pdoi
10.1002/micr.22045subject
Has Abstractpub_date
2013-01-01 00:00:00pages
56-9issue
1eissn
0738-1085issn
1098-2752journal_volume
33pub_type
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