Vascularized Fibula-Based Physis Transfer for Pediatric Proximal Humerus Reconstruction

Erdmann, Detlev; Garcia, Ryan; Blueschke, Gert; Brigman, Brian E.; Levin, L. Scott

doi:10.1097/prs.0b013e31829589fb

Cited by 25 publications

(26 citation statements)

References 18 publications

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“…Eighty‐six studies met the criteria of vascularized bone graft in the setting of upper extremity sarcoma. Fifty‐six studies met the full inclusion criteria of describing FVFG for upper extremity sarcoma and were included in analysis . (See Supplementary Table S1 for a complete list of included studies).…”

Section: Resultsmentioning

confidence: 99%

Free vascularized fibula grafting in the operative treatment of malignant bone tumors of the upper extremity: A systematic review of outcomes and complications

Landau

Badash

Yin

et al. 2018

Journal of Surgical Oncology

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Section: Resultsmentioning

confidence: 99%

Free vascularized fibula grafting in the operative treatment of malignant bone tumors of the upper extremity: A systematic review of outcomes and complications

Landau

Badash

Yin

et al. 2018

Journal of Surgical Oncology

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“…However, postoperative recovery is prolonged, full weight bearing ambulation usually being delayed. In addition, postoperative complications, including recurrence, fracture, infection and nonunion, are not negligible [3][4][5][6][7][35][36][37][38] . Mechanical reconstruction can achieve ideal tumor resection margins and allow instant weight bearing ambulation postoperatively.…”

Section: Comparison Of Therapeutic Effects Of Biological and Mechanicmentioning

confidence: 99%

Impacts of Tumor Location, Nature and Bone Destruction of Extremity Osteosarcoma on Selection of Limb Salvage Operative Procedure

Chen

et al. 2016

Orthopaedic Surgery

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Selection of limb salvage operative protocol for extremity OS should rely on tumor location, nature and extent of bone destruction. Regardless of tumor site, mechanical reconstruction is indicated for tumors with high invasion scores (>8), whereas biological reconstruction is preferred for those with low invasion scores (≤8). Tumors sparing the epiphyseal line or plate are ideal candidates for articular preservation.

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“…The use of free vascularized epiphyseal transfer after resection of extremity tumors has not been commonly employed with only the occasional case reports present in literature. 29 30 An expandable prosthesis is a commonly used solution to the problem of limb length discrepancy that would result in young children offered salvage with a megaprosthesis. 31 The prostheses have special mechanisms to lengthen them at periodic intervals.…”

Section: Introductionmentioning

confidence: 99%

Limb salvage: When, where, and how?

Puri

2015

IJOO

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From an era where amputation was the only option to the current day function preserving resections and complex reconstructions has been a major advance in the treatment of musculoskeletal sarcomas. The objectives of extremity reconstruction after oncologic resection include providing skeletal stability where necessary, adequate wound coverage to allow early subsequent adjuvant therapy, optimising the aesthetic outcome and preservation of functional capability with early return to function. This article highlights the concepts of surgical margins in oncology, discusses the principles governing safe surgical resection in these tumors and summarises the current modalities and recent developments relevant to reconstruction after limb salvage. The rationale of choice of a particular resection modality and the unique challenges of reconstruction in skeletally immature individuals are also discussed. Striking the right balance between adequate resection, while yet retaining or reconstructing tissue for acceptable function and cosmesis is a difficult task. Complications are not uncommon and patients and their families need to be counseled regarding the potential setbacks that may occur in the course of their eventual road to recovery, Limb salvage entails a well orchestrated effort involving various specialties and better outcomes are likely to be achieved with centralization of expertise at regional centers.

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Vascularized Fibula-Based Physis Transfer for Pediatric Proximal Humerus Reconstruction

Abstract: Therapeutic, V.

Cited by 25 publications

References 18 publications

Free vascularized fibula grafting in the operative treatment of malignant bone tumors of the upper extremity: A systematic review of outcomes and complications

Free vascularized fibula grafting in the operative treatment of malignant bone tumors of the upper extremity: A systematic review of outcomes and complications

Impacts of Tumor Location, Nature and Bone Destruction of Extremity Osteosarcoma on Selection of Limb Salvage Operative Procedure

Limb salvage: When, where, and how?

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