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The Vascularized Fibular Graft in the Pediatric Upper Extremity: A Durable, Biological Solution to Large Oncologic Defects
Joint Authors
Brigman, Brian E.
Eward, William C.
Erdmann, Detlev
Zelenski, Nicki
Levin, L. Scott
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-10-07
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Skeletal reconstruction after large tumor resection is challenging.
The free vascularized fibular graft (FVFG) offers the potential for rapid autograft incorporation as well as growing physeal transfer in pediatric patients.
We retrospectively reviewed eleven pediatric patients treated with FVFG reconstructions of the upper extremity after tumor resection.
Eight male and three female patients were identified, including four who underwent epiphyseal transfer.
All eleven patients retained a functional salvaged limb.
Nonunion and graft fracture were the most common complications relating to graft site (27%).
Peroneal nerve palsy occurred in 4/11 patients, all of whom received epiphyseal transfer.
Patients receiving epiphyseal transplant had a mean annual growth of 1.7 cm/year.
Mean graft hypertrophy index increased by more than 10% in all cases.
Although a high complication rate may be anticipated, the free vascularized fibula may be used to reconstruct large skeletal defects in the pediatric upper extremity after oncologic resection.
Transferring the vascularized physis is a viable option when longitudinal growth is desired.
American Psychological Association (APA)
Zelenski, Nicki& Brigman, Brian E.& Levin, L. Scott& Erdmann, Detlev& Eward, William C.. 2013. The Vascularized Fibular Graft in the Pediatric Upper Extremity: A Durable, Biological Solution to Large Oncologic Defects. Complexity،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1032537
Modern Language Association (MLA)
Zelenski, Nicki…[et al.]. The Vascularized Fibular Graft in the Pediatric Upper Extremity: A Durable, Biological Solution to Large Oncologic Defects. Complexity No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-1032537
American Medical Association (AMA)
Zelenski, Nicki& Brigman, Brian E.& Levin, L. Scott& Erdmann, Detlev& Eward, William C.. The Vascularized Fibular Graft in the Pediatric Upper Extremity: A Durable, Biological Solution to Large Oncologic Defects. Complexity. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1032537
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1032537