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

Authors

  • Kiran Sudhakar Belsare Topiwala National Medical College & B.Y.L. Niar Hospital, Mumbai, India
  • Shyam Thakkar Department of Orthopaedics, B.Y.L Nair Charitable Hospital & T.N Medical College, Mumbai central, Mumbai. Maharashtra,
  • Lokesh Sharoff Department of Orthopaedics, B.Y.L Nair Charitable Hospital & T.N Medical College, Mumbai central, Mumbai. Maharashtra,
  • Aseem Parekh Department of Orthopaedics, B.Y.L Nair Charitable Hospital & T.N Medical College, Mumbai central, Mumbai. Maharashtra,

DOI:

https://doi.org/10.7439/ijbr.v6i8.2407

Keywords:

Polycystic ovarian syndrome, Serum prolactin, Insulin resistance.

Abstract

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%.

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Author Biography

  • Kiran Sudhakar Belsare, Topiwala National Medical College & B.Y.L. Niar Hospital, Mumbai, India
    Senior Resident, Dept of Orthopaedics

References

Jason H. Calhoun, M.M. Manring, Mark Shirtliff. Osteomyelitis of the long bones.Semin Plast

Surg. 2009 May; 23(2): 59

Kerfant N, Valenti P, Kilinc AS, et al. Free vascularised fibular graft in multi-operated patients for an aseptic non-union of the humerus with segmental defect: Surgical technique and results. OrthopTraumatol Surg Res. 2012 Sep;98(5):603-7.

Chhabra AB, Golish SR, Pannunzio ME, et al.Treatment of chronic nonunions of the humerus with free vascularized fibula transfer: a report of thirteen cases. J Reconstr Microsurg 2009;25:117

Arai K, Toh S, Tsubo K, et al. Complications of vascularized fibula graft for reconstruction of long bones. Plast Rec Surg 2002;7:2301

Adani R, Delcroix L, Tarallo L, et al. Reconstruction of posttraumatic bone defects of the humerus with vascularized fibular graft. J Shoulder Elbow Surg 2008;17(4):578

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Published

2015-08-30

Issue

Section

Case Report

How to Cite

1.
Vascularized fibular graft for chronic osteomyelitis of humerus in a 10 years child. Int Jour of Biomed Res [Internet]. 2015 Aug. 30 [cited 2024 Oct. 19];6(8):596-600. Available from: https://ssjournals.co.in/index.php/ijbr/article/view/2407

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