Composite-Free Vascularized Fibular Epiphyseal Flap and Proximal Humeral Allograft for Proximal Humerus Reconstruction in a Pediatric Patient

Matthew T. Houdek, Elizabeth P. Wellings, Hiba Saifuddin, Steven L. Moran

Research output: Contribution to journalArticlepeer-review

Abstract

Tumors involving the epiphysis in children present a reconstructive challenge. A free vascularized fibula epiphyseal transfer offers a means for biological reconstruction and longitudinal growth; however, it is often complicated by graft fracture and limited shoulder motion. Here, we present a case of a composite structural allograft with free vascularized fibula epiphyseal transfer for proximal humeral reconstruction. At 27-month follow-up, there was longitudinal growth, hypertrophy of the epiphysis, shoulder function which allowed activities of daily living, and no graft fracture.

Original languageEnglish (US)
JournalJournal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
Volume5
Issue number7
DOIs
StatePublished - Jul 7 2021

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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