Free vascularized fibular grafting in combination with a locking plate for the reconstruction of a large tibial defect secondary to osteomyelitis in a child: a case report and literature review

被引：8
|
作者：
Jia, Wei-Tao [1 ]
Zhang, Chang-Qing [1 ]
Sheng, Jia-Gen [1 ]
Jin, Dong-Xu [1 ]
Cheng, Xiang-Guo [1 ]
Chen, Sheng-Bao [1 ]
Zeng, Bing-Fang [1 ]
机构：
[1] Shanghai Jiao Tong Univ, Dept Orthoped Surg, Shanghai Peoples Hosp 6, Shanghai 200233, Peoples R China
来源：
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2010年 / 19卷 / 01期
关键词：
children; free vascularized fibular graft; locking plate; osteomyelitis; tibial defect; BONE-GRAFTS; INTERNAL-FIXATION; SKELETAL DEFECTS; LONG BONES; MANAGEMENT; ALLOGRAFTS; HYPERTROPHY; FRACTURES; BIOLOGY; LIMB;
D O I：
10.1097/BPB.0b013e328331c340
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Although a large skeletal defect secondary to osteomyelitis in children is not an uncommon problem, there are no descriptions of the management of such a defect with a free vascularized fibular graft in combination with a locking plate. We performed such a technique, after radical debridement and systemic antibiotic treatment, on a 13-year-old boy suffering from a large 10cm tibial defect secondary to osteomyelitis. Primary union of the graft was achieved at 6 months. No recurrence of osteomyelitis occurred in the 29-month follow-up period, and limb salvage and eradication of the infection were achieved successfully. J Pediatr Orthop B 19:66-70 (C) 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.
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页码：66 / 70
页数：5
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