Vascularized Epiphyseal Transplant

Innocenti, Marco; Delcroix, Luca; Romano, Gianmaria Federico; Capanna, Rodolfo

doi:10.1016/j.ocl.2006.10.003

Cited by 73 publications

(73 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It allows restoration of joint function and growth potential [8]. Continued longitudinal and tridimensional growth of the transplant has been confirmed by clinical monitoring [6,9,12].…”

Section: Introductionmentioning

confidence: 83%

“…Autologous epiphysis transplants have been reported more commonly in clinical practice [3,8]. They are an effective alternative for epiphyseal reconstruction in children.…”

Section: Discussionmentioning

confidence: 99%

“…Transplants can be used for treatment in various conditions, such as tumors and congenital or traumatic disorders of a long bone epiphysis in children. They have been used at various sites, including the proximal humerus, distal radius, and proximal femur [3,8,9]. The donor site is mainly the proximal fibula.…”

Section: Discussionmentioning

confidence: 99%

“…The donor site is mainly the proximal fibula. Innocenti et al [8] reported a series of 27 cases in skeletally immature patients with good morphologic and functional results at 2 to 14 years followup. We personally performed two other fibular epiphyseal transfers for reconstruction of one distal radius and one proximal humerus, both after excision of Ewing's sarcoma.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Case Report: Histologic Study of a Human Epiphyseal Transplant at 3 Years after Implantation

Gauzy

Accadbled

Brouchet

et al. 2009

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

A 5-year-old boy underwent surgical excision of a Ewing's sarcoma of the proximal femur. Reconstruction was performed using an ipsilateral vascularized epiphyseal transplant and a femoral allograft. Local recurrence of the tumor necessitated hip disarticulation 3 years after the initial procedure. We then performed a histologic analysis of the transplant. The growth plate was still normal in structure but had richly vascularized hyperplastic layers. We observed bridging between the articular cartilage and the growth plate.

show abstract

“…It allows restoration of joint function and growth potential [8]. Continued longitudinal and tridimensional growth of the transplant has been confirmed by clinical monitoring [6,9,12].…”

Section: Introductionmentioning

confidence: 83%

“…Autologous epiphysis transplants have been reported more commonly in clinical practice [3,8]. They are an effective alternative for epiphyseal reconstruction in children.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Case Report: Histologic Study of a Human Epiphyseal Transplant at 3 Years after Implantation

Gauzy

Accadbled

Brouchet

et al. 2009

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…[9] The most practical source of vascularized epiphysis remains free fibula with its proximal head or reverse-flow vascularized fibular head. Free fibula flap is a popular flap for treating composite defect [10], maintaining joint function and achieving growth [11,12]. However, complications caused by microvascular anastomoses cannot be underestimated [13,14].…”

Section: Discussionmentioning

confidence: 99%

Paediatric distal fibula reconstruction using a pedicled composite second metatarsal flap: A technical note

Trimaille

Vries

et al. 2015

Injury

View full text Add to dashboard Cite

Composite vascularized fibular epiphyseo‐osteo‐periosteal transfer for hip reconstruction after proximal femoral tumoral resection in a 4‐year‐old child

et al. 2012

View full text Add to dashboard Cite

Literature on the reconstruction of the proximal femur in skeletally immature patients with the use of an epiphyseal transplant is scarce and with variable results depending on the indication. We report successful outcomes using a modified vascularized fibular epiphyseal transplant in a 4-year-old boy with an oncologic lesion. We discuss the advantages of supplementing the standard graft with a vascularized fibular periosteal tissue. The vascularized fibular epiphyseal transplant (VFET) is an effective option in the reconstruction of the epiphysis in skeletally immature patients, owing to the advantage of restoring both the joint function and the growth potential in a single surgical operation. Multiple reported cases demonstrate the effectiveness of this complex technique in upper extremity reconstruction. However, literature is scarce regarding its use for the reconstruction of the proximal femur and hip joint. Through this article, we report the use of a VFET in the reconstruction of a proximal femur in a 4-year-old boy after an intra-articular wide excision of an epithelioid hemangioendotelioma. We also discuss the advantages of designing the flap as a composite vascularized epiphyseo-osteo-periosteal flap.

show abstract

Vascularized Epiphyseal Transplant

Cited by 73 publications

References 20 publications

Case Report: Histologic Study of a Human Epiphyseal Transplant at 3 Years after Implantation

Case Report: Histologic Study of a Human Epiphyseal Transplant at 3 Years after Implantation

Paediatric distal fibula reconstruction using a pedicled composite second metatarsal flap: A technical note

Composite vascularized fibular epiphyseo‐osteo‐periosteal transfer for hip reconstruction after proximal femoral tumoral resection in a 4‐year‐old child

Contact Info

Product

Resources

About