Vascularized fibular grafts extended with vascularized periosteum in children

Abstract

The association of a vascularized periosteal extension with fibular flaps seems to accelerate flap to recipient bone union. © 2016 Wiley Periodicals, Inc. Microsurgery 37:410-415, 2017.

Vascularized thumb metacarpal periosteal pedicled flap for scaphoid nonunion: An anatomical study and pediatric case report

“…Like our own patient, none of the patients in the Bertelli et alseries expressed any donor site complaints (Bertelli et al, 2004). particularly-unfavorable scenarios in children Finley et al, 1979;Qi et al, 2008;Soldado et al, 2012aSoldado et al, ,b, c2012c,2015Soldado et al, ,2017, with excellent results treating bone nonunion Finley et al, 1979;Qi et al, 2008;Soldado et al, 2012aSoldado et al, ,b,c,2015Soldado et al, ,2017Yuceturk et al, 1997). Vascularized periosteal grafts are easy and quick to harvest at this young age, and the flap's elasticity permits it to readily conform to the recipient's bed configuration (Finley et al, 1979;Soldado et al, 2012aSoldado et al, ,b,2017.…”

“…This can be explained by the abundance of osteogenic stem cells located within the cambium layer (Finley, Wood, & Acland, ; Soldado et al, ). The cambium layer, in intimate contact with both the nonunion focus and the poorly‐vascularized surrounding tissues, may induce healing more efficiently than a vascularized bone graft (Soldado et al, ).…”

“…Several vascularized periosteal graft techniques have been reported recently as reliable techniques to enhance bone union in particularly‐unfavorable scenarios in children (Diaz‐Gallardo et al, ; Finley et al, ; Qi et al, ; Soldado et al, ), with excellent results treating bone nonunion (Diaz‐Gallardo et al, ; Finley et al, ; Qi et al, ; Soldado et al, ; Yuceturk et al, ). Vascularized periosteal grafts are easy and quick to harvest at this young age, and the flap's elasticity permits it to readily conform to the recipient's bed configuration (Finley et al, ; Soldado et al, ). Previous vascularized periosteal grafts reported for the treatment of recalcitrant nonunion did not require nonunion‐focused bone grafting, as was true in our case (Finley et al, ; Qi et al, ; Soldado et al, ).…”

“…Vascularized periosteal grafts are easy and quick to harvest at this young age, and the flap's elasticity permits it to readily conform to the recipient's bed configuration (Finley et al, ; Soldado et al, ). Previous vascularized periosteal grafts reported for the treatment of recalcitrant nonunion did not require nonunion‐focused bone grafting, as was true in our case (Finley et al, ; Qi et al, ; Soldado et al, ). With stable internal screw fixation, scaphoid waist nonunion with collapse and bone loss can be treated successfully using only a cancellous bone graft (Cohen, Jupiter, Fallahi, & Shukla, ).…”

Vascularized ulnar periosteal pedicled flap for forearm reconstruction: Anatomical study and a case report

“…The rationale for this is that vascularized periosteal flaps yield faster consolidation than vascularized bone flaps (Cheema, Lakshman, Cheema, & Durrani, ). This can be explained by the abundance of osteogenic stem cells that are located in the cambium layer (Finley, Wood, and Acland, ; Soldado et al, , ).…”