Vascularized fibular graft for chronic osteomyelitis of humerus in a 10 years child

International Journal of Biomedical Research

Shyam Thakkar¹  Aseem Parekh²  Lokesh Sharoff³  Kiran Sudhakar Belsare⁴ 

[1] B.Y.L. Niar Hospital, Mumbai, India;T.N Medical College, Mumbai central, Mumbai. Maharashtra,;Department of Orthopaedics, B.Y.L Nair Charitable Hospital &Topiwala National Medical College &

关键词: Osteomyelitis;    vascularised fibular graft;    skeletal defects;   

DOI  :  10.7439/ijbr.v6i8.2407

学科分类：基础医学

来源: Scholar Science Journals

【 摘 要 】

Introduction: Reconstruction of large skeletal defects secondary to osteomyelitis remains a challenging problem. Free vascularized bone can be used to reconstruct large skeletal defects greater than 6 cm or bone defects of smaller size that failed to heal with nonvascularized bone grafting. There are only few case reports which describe it in such a young age group.Case report: We report a case of a 9 years male child with a right proximal humerus osteomyelitic defect treated with a vascularized fibular graft and plating with a 6 months follow up having a satisfactory functional outcome.Conclusion: free vascularized fibula transfer is an efficient technique for exceptional cases of multi-operated and aseptic resistant non-union with bone defect of the humerus. The indications for vascularized bone grafting are skeletal defects greater than 6 cm or smaller defects that have failed to heal with nonvascular bone graft with a reported success rate of 77%-90%.

【 授权许可】

CC BY