Unsuccessful Osteochondral Allograft Cap to Prevent Overgrowth in a Pediatric Patient with Previous Transtibial Amputation: A Case Report.

Autor:	Pluta NA; Uniformed Services University of Health Sciences, Bethesda, Maryland., Harrington CJ; Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland., Smith DG; Department of Physical Medicine and Rehabilitation, The Center for Rehabilitation Sciences Research, Uniformed Services University of Health Sciences, Bethesda, Maryland., Gantsoudes GD; Department of Orthopaedic Surgery, Pediatric Specialists of Virginia, Fairfax, Virginia.
Jazyk:	angličtina
Zdroj:	JBJS case connector [JBJS Case Connect] 2023 Apr 24; Vol. 13 (2). Date of Electronic Publication: 2023 Apr 24 (Print Publication: 2023).
DOI:	e22.00650
Abstrakt:	Case: This case demonstrates the attempted utilization of an osteochondral allograft for the prevention of bony overgrowth in a patient with fibular hemimelia and previous transtibial amputation with failure of Teflon capping. Additionally, we describe a novel technique to provide additional padding and increase the width of the residual limb using a dermal allograft. Conclusions: Bony overgrowth after pediatric amputations is common and often necessitates revision procedures secondary to infection, ulceration, pain, and discomfort with prosthesis use. Our use of an osteochondral allograft cap to prevent bony overgrowth ultimately failed 13 months following the procedure, and further research on various graft options and other treatment modalities is warranted, especially if the proximal fibula is unavailable or there is concern for donor site morbidity associated with harvesting autologous grafts. 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/C41). (Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze:	MEDLINE
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