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

doi:10.5435/JAAOSGlobal-D-21-00009

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

Plastic and Reconstructive Surgery

Research output: Contribution to journal › Article › peer-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 language	English (US)
Article number	e21.00009
Journal	Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
Volume	5
Issue number	7
DOIs	https://doi.org/10.5435/JAAOSGlobal-D-21-00009
State	Published - Jul 7 2021

ASJC Scopus subject areas

General Medicine

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10.5435/JAAOSGlobal-D-21-00009

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Composite-Free Vascularized Fibular Epiphyseal Flap and Proximal Humeral Allograft for Proximal Humerus Reconstruction in a Pediatric Patient. / Houdek, Matthew T.; Wellings, Elizabeth P.; Saifuddin, Hiba et al.
In: Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews, Vol. 5, No. 7, e21.00009, 07.07.2021.

Research output: Contribution to journal › Article › peer-review

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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.",

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AU - Moran, Steven L.

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AB - 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.

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

Abstract

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