Free microvascular epiphyseal transplantation: An experimental study in dogs

Donski, P; O’Brien, Bernard McC.

doi:10.1016/0007-1226(80)90007-7

Cited by 46 publications

(8 citation statements)

References 10 publications

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“…Restoring the metaphyseal and epiphyseal blood supply, Bowen, Boyer, Nettelblad, and others demonstrated the survival and the growth of the transplanted epiphysis. [6][7][8][9][10][11] The procedure was then applied in clinical practice in the 1980s, when a few surgeons pioneered this innovative technique in the human being, [12][13][14] achieving some encouraging results that convinced the scientific community to refine the technique and expand the indications.…”

Section: Discussionmentioning

confidence: 99%

Vascularized Growth Plate Transfer for Distal Radius Reconstruction

Innocenti¹,

Delcroix²,

Balatri³

2008

Seminars in Plastic Surgery

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Distal radius reconstruction in children should meet two requests: restoration of some joint function and preservation of the physiologic growth of the segment. None of the conventional options is likely to successfully achieve both goals. Conversely, a vascularized transfer of the proximal fibula including the growth plate provides enough bone stock for diaphyseal reconstruction, an articular surface for joint function, and the potential for longitudinal growth. From 1992 to 2006, eight children ranging in age between 2 and 10 years underwent a vascularized transfer of the proximal fibula for distal radius reconstruction after bone sarcoma resection. The follow-up ranges were between 1 year and 15 years. All the grafts were harvested based on the anterior tibial artery. Seven cases with a follow-up longer than 2 years have been evaluated both clinically and radiographically. All the grafts survived and had a satisfactory growth after the transplant. The functional outcome has been satisfactory, and the range of motion of the reconstructed wrist has been nearly normal in all cases but one. Proximal fibular epiphyseal transfer was an effective procedure for distal radius reconstruction in children who underwent tumor resection. Refinements in the operative technique have increased the reliability of this reconstructive option, which might be safely used also in congenital and posttraumatic disorders.

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Section: Discussionmentioning

confidence: 99%

Vascularized Growth Plate Transfer for Distal Radius Reconstruction

Innocenti¹,

Delcroix²,

Balatri³

2008

Seminars in Plastic Surgery

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“…Opposition necessitates length, stability, strength and mobility. [11][12][13][14][15] Amputations that deprive the thumb of the distal phalynx or, at most, just proximal to the interphalangeal (IP) joint may not require reconstructions. 16 Loss at or proximal to the shaft of the proximal phalynx will require some sort of reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Reversed osteocutaneous radial forearm island flap for traumatic thumb reconstruction

et al. 2016

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“…Advances in microvascular surgery gave a new surge to experimental research. Bowen, Boyer, Nettelblad and others demonstrated the survival and the growth of the transplanted epiphysis after restoring the epiphyseal blood supply in animal models [7][8][9][10][11][12][13][14][15].…”

mentioning

confidence: 99%

“…Ergebnisse: Die mittlere Nachbeobachtungszeit betrug 13,2 Jahre(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)). Die Transplantate haben in allen Patienten überlebt und zeigten Knochenfusion an der Empfängerstelle.…”

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Long Term Results of Epiphyseal Transplant in Distal Radius Reconstruction in Children

Innocenti

Baldrighi

Menichini

2015

Handchir Mikrochir plast Chir

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▼Background: Replacement of osseous defect, restoration of joint function, and restoration of longitudinal growth are the 3 main reconstructive issues that need to be addressed when the physis and epiphysis are damaged in a skeletally immature individual. Failure in achieving these objectives leads to severe deformity and functional impairment, which significantly compromises the quality of life of young patients. Because of its biological and morphological characteristics, the proximal fibula epiphyseal transfer has proven to be an excellent option in limb salvage surgery in pediatric oncologic cases meeting all the reconstructive requirements. Methods: Between 1992-2006, 8 children with a mean age of 7.3 years (range 4-11 years old) diagnosed with malignant bone tumor of the distal radius underwent tumor resection and immediate microsurgical reconstruction of the distal part of the radius with vascularized proximal fibular transfer, which included the physis and a variable length of the diaphysis. The anterior tibial vascular network supplied all of the grafts. One patient died to lung metastasis, 3.5 years after surgery; a second patient was lost at followup. The remaining 6 patients were periodically followed up both clinically, measuring range of motion, grip strength and the sensation of the hand, and by means of standard x rays, bone scan and CT scan. Results: The mean follow-up was 13.2 years (range, 8-22 years). All the transfers survived and underwent fusion at the recipient site. In our experience the fibular growth expected after the transplant, ranges between 0.7 and 1.4 cm per year. In this series growth arrest occurred in only one patient after trauma. Serial radiographs and CT scans revealed progressive remodeling over time of the new articular surface. The functional result was rated as excellent in all but the

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Free microvascular epiphyseal transplantation: An experimental study in dogs

Cited by 46 publications

References 10 publications

Vascularized Growth Plate Transfer for Distal Radius Reconstruction

Vascularized Growth Plate Transfer for Distal Radius Reconstruction

Reversed osteocutaneous radial forearm island flap for traumatic thumb reconstruction

Long Term Results of Epiphyseal Transplant in Distal Radius Reconstruction in Children

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