Bone Grafts Research Today is a free monthly online journal that collates and summarizes the latest research about Bone Grafts, including details on spine fusion, surgery, procedure, risks.

Vascularized epiphyseal transplant.

Innocenti M, Delcroix L, Romano GF, Capanna R

Microsurgery Unit, Department of Orthopaedics, Azienda Ospedaliera-Universitaria Careggi, Largo Palagi 1, Firenze 50139, Italy. m.innocenti@agora.it

In skeletally immature patients, the transfer of vascularized epiphysis along with a variable amount of adjoining diaphysis may provide the potential for growth of such a graft, preventing future limb length discrepancy. This article describes the authors' experience with the vascularized transfer of the proximal fibular epiphysis in the reconstruction of large bone defects including the epiphysis in a series of 27 patients ranging in age from 2 to 11 years. The follow-up, ranging from 2 to 14 years, has been long enough to allow some evaluation of the validity, indications, and limits of this reconstructive option.

Published 5 December 2006 in Orthop Clin North Am, 38(1): 95-101, vii.
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