Reconstruction of the Distal Ulnar Epiphysis with Vascularized Proximal Fibula Including Epiphysis in Children after Osteochondroma Resection

• DOI: 10.1097/prs.0b013e3182a3bf98
• Publication Date: 2013-10-29T05:53:49Z
• Authors: Yun-fa Yang; Guang-ming Zhang; Zhi-qi Huo; Zhong-he Xu; Da-chuan Xu
• Keywords: Epiphysis

Background: Osteochondromas, especially multiple hereditary osteochondromas, usually cause various deformities of the joints. The authors sometimes find ulnar shortening and acquired wrist varus deformity in distal osteochondromas even radial head dislocation resulting shortening. In this study, present clinical outcomes epiphysis reconstruction two children using vascularized proximal fibula including after osteochondroma resection. Methods: used as a substitute to reconstruct resection investigated outcome patients (aged 4 9 years). Results: was corrected successfully for both cases. Bone union between fibular grafts hosts found 2 months postoperatively. reconstructed ulna contralateral limbs were growing almost simultaneously. morphology function also satisfactory at 1- 8-year follow-up, respectively. Conclusions: It is possible simultaneously keep longitudinal growth by children. However, plate might be prematurely closed approximately 8 years reconstruction. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.