Lengthening After Nonvascularized Fibula Grafting for Large Postinfective Bone Defect: A Case Report with Long Follow-up
| Autor: | Mandar Vikas Agashe, Rujuta Mehta, Deepika A Pinto |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty medicine.medical_treatment Grafting (decision trees) Nonunion Osteogenesis Distraction 03 medical and health sciences 0302 clinical medicine Physeal arrest Medicine Humans Orthopedics and Sports Medicine Fibula Child 030222 orthopedics Tibia business.industry Osteomyelitis Infant musculoskeletal system Functional recovery Bone defect medicine.disease Surgery surgical procedures operative Child Preschool Distraction osteogenesis business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | JBJS case connector. 11(2) |
| ISSN: | 2160-3251 |
| Popis: | CASE We describe a case of lengthening of the tibial regenerate after nonvascularized fibula grafting, for postinfective tibial gap nonunion in a child. A large tibial defect secondary to osteomyelitis in a 10-month-old boy was reconstructed using a 5-cm fibula autograft. Concomitant distal tibial physeal arrest led to progressive shortening. Distraction osteogenesis was performed, through the grafted segment, on 2 occasions-at the ages of 3.5 and 8 years-to achieve total lengthening of 9 cm and good functional recovery at 11.5 years of age. CONCLUSION The tibial regenerate after nonvascularized fibula grafting in children has good potential for distraction osteogenesis. |
| Databáze: | OpenAIRE |
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