Reconstruction of a Pediatric Lateral Femoral Condyle After Septic Necrosis with a Free Vascularized Fibular Epiphysis: A Case Report.

Autor: El-Gammal TA; Reconstructive Microsurgery Unit, Department of Orthopedics and Traumatology, Assiut University Hospitals and School of Medicine, Assiut, Egypt., Refai OA, Morsy M, Eisa AA
Jazyk: angličtina
Zdroj: JBJS case connector [JBJS Case Connect] 2023 Mar 09; Vol. 13 (1). Date of Electronic Publication: 2023 Mar 09 (Print Publication: 2023).
DOI: e22.00736
Abstrakt: Case: A 5-year-old girl presented with severe valgus deformity of the right knee after septic necrosis of the lateral femoral condyle. Reconstruction was performed using the contralateral proximal fibular epiphysis on the anterior tibial vessels. Union was evident after 6 weeks, and full weight bearing was permitted after 12 weeks. Two years of follow-up showed no deformity or length discrepancy and 90° range of motion.
Conclusion: The pattern of 1 femoral condyle resorption due to osteomyelitis is a rare presentation. The presented method of reconstruction could be implemented as a novel technique to reconstruct the growing knee joint in such a condition.
Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C49).
(Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze: MEDLINE