Abstract:
:Literature on the reconstruction of the proximal femur in skeletally immature patients with the use of an epiphyseal transplant is scarce and with variable results depending on the indication. We report successful outcomes using a modified vascularized fibular epiphyseal transplant in a 4-year-old boy with an oncologic lesion. We discuss the advantages of supplementing the standard graft with a vascularized fibular periosteal tissue. The vascularized fibular epiphyseal transplant (VFET) is an effective option in the reconstruction of the epiphysis in skeletally immature patients, owing to the advantage of restoring both the joint function and the growth potential in a single surgical operation. Multiple reported cases demonstrate the effectiveness of this complex technique in upper extremity reconstruction. However, literature is scarce regarding its use for the reconstruction of the proximal femur and hip joint. Through this article, we report the use of a VFET in the reconstruction of a proximal femur in a 4-year-old boy after an intra-articular wide excision of an epithelioid hemangioendotelioma. We also discuss the advantages of designing the flap as a composite vascularized epiphyseo-osteo-periosteal flap.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Soldado F,Fontecha CG,Haddad S,Corona P,Collado D,Llusá M,Rego Pdoi
10.1002/micr.21988subject
Has Abstractpub_date
2012-09-01 00:00:00pages
489-92issue
6eissn
0738-1085issn
1098-2752journal_volume
32pub_type
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