Free vascularized fibular grafting in combination with a locking plate for the reconstruction of a large tibial defect secondary to osteomyelitis in a child: a case report and literature review

被引:8
作者
Jia, Wei-Tao [1 ]
Zhang, Chang-Qing [1 ]
Sheng, Jia-Gen [1 ]
Jin, Dong-Xu [1 ]
Cheng, Xiang-Guo [1 ]
Chen, Sheng-Bao [1 ]
Zeng, Bing-Fang [1 ]
机构
[1] Shanghai Jiao Tong Univ, Dept Orthoped Surg, Shanghai Peoples Hosp 6, Shanghai 200233, Peoples R China
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2010年 / 19卷 / 01期
关键词
children; free vascularized fibular graft; locking plate; osteomyelitis; tibial defect; BONE-GRAFTS; INTERNAL-FIXATION; SKELETAL DEFECTS; LONG BONES; MANAGEMENT; ALLOGRAFTS; HYPERTROPHY; FRACTURES; BIOLOGY; LIMB;
D O I
10.1097/BPB.0b013e328331c340
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Although a large skeletal defect secondary to osteomyelitis in children is not an uncommon problem, there are no descriptions of the management of such a defect with a free vascularized fibular graft in combination with a locking plate. We performed such a technique, after radical debridement and systemic antibiotic treatment, on a 13-year-old boy suffering from a large 10cm tibial defect secondary to osteomyelitis. Primary union of the graft was achieved at 6 months. No recurrence of osteomyelitis occurred in the 29-month follow-up period, and limb salvage and eradication of the infection were achieved successfully. J Pediatr Orthop B 19:66-70 (C) 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.
引用
收藏
页码:66 / 70
页数:5
相关论文
共 22 条
  • [1] CABENELA ME, 1982, ANN M AM AC ORTH SUR
  • [2] Hypertrophy after free vascularized fibular transfer to the lower limb
    El-Gammal, TA
    El-Sayed, A
    Kotb, MM
    [J]. MICROSURGERY, 2002, 22 (08) : 367 - 370
  • [3] EXPERIMENTAL-STUDY AND CLINICAL OBSERVATIONS ON HYPERTROPHY OF VASCULARIZED BONE-GRAFTS
    FUJIMAKI, A
    SUDA, H
    [J]. MICROSURGERY, 1994, 15 (10) : 726 - 732
  • [4] GOLDBERG VM, 1987, ORTHOP CLIN N AM, V18, P197
  • [5] Management of a nonunion of the distal femur in osteoporotic bone with the internal fixation system LISS (less invasive stabilization system)
    Hailer, YD
    Hoffmann, R
    [J]. ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2006, 126 (05) : 350 - 353
  • [6] Management of childhood chronic tibial osteomyelitis with the Ilizarov method
    Kucukkaya, M
    Kabukcuoglu, Y
    Tezer, M
    Kuzgun, U
    [J]. JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2002, 22 (05) : 632 - 637
  • [7] Osteomyelitis in long bones
    Lazzarini, L
    Mader, JT
    Calhoun, JH
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (10) : 2305 - 2318
  • [8] LEE KS, 1991, INT ORTHOP, V15, P199
  • [9] MAKLEY JT, 1985, CLIN ORTHOP RELAT R, P58
  • [10] Free vascularized fibular grafts for reconstruction of skeletal defects
    Malizos, KN
    Zalavras, CG
    Soucacos, PN
    Beris, AE
    Urbaniak, JR
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2004, 12 (05) : 360 - 369