Vascularized Proximal Fibular Epiphyseal Transfer for Bayne and Klug Type III Radial Longitudinal Deficiency in Children

Yang, Jiantao; Qin, Bengang; Li, Ping; Fu, Guo; Xiang, Jianping; Gu, Liqiang

doi:10.1097/prs.0000000000000836

Cited by 25 publications

(31 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Unlike the common vascularized fibular graft, the blood supply of vascularized fibular epiphyseal (VFG) transfer does not always come from fibular artery. Actually, the pedicle harvest has been provided with five different choice in chronological order: peroneal vessel [ 43 ], bi-pedicled transfer [ 44 ], single anterior tibial artery (antegrade [ 45 ] or reverse-flow [ 46 ]) and most-recently inferior lateral genicular vessels [ 47 ]. Anterior tibial artery is the most common choice and a reverse-flow design was reported with the best bone growth potential and low complication.…”

Section: Methodsmentioning

confidence: 99%

“…Anterior tibial artery is the most common choice and a reverse-flow design was reported with the best bone growth potential and low complication. But with the evidence of 4 clinical case reports of reconstructing Bayne and Klug Type III Radial Longitudinal Deficiency by Yang [47], and a 28-cadaver research [48] on blood supply of fibular epiphysis, the inferior lateral genicular was found to be an ideal alternative which has abundant anastomosis with anterior tibial artery, and a more donor-site-friendly choice because the harvest is well exempted from the transection of branches of the deep peroneal nerves, hence to lower the risk of sensory deficits on donor site.…”

Section: Proximal Fibular Epiphyseal Transfermentioning

confidence: 99%

See 1 more Smart Citation

Complication of osteo reconstruction by utilizing free vascularized fibular bone graft

Zhou

et al. 2020

BMC Surg

View full text Add to dashboard Cite

The success of free vascularized fibular bone graft (FVFBG) has accelerated the osteo reconstruction which results from trauma, resection of a tumor or an infectious bone segment, or correction of congenital deformity. But the complication behind should not be overlooked. The failure could necessitate a second surgery, which prolong the rehabilitation period and produce further health cost. Worst, the patients may suffer a permanent impaired ankle function, or a sustained morpho-functional loss on reconstructive area which are hard to save. To provide an overview of the complication related to reconstruction by FVFBG, a narrative review is conducted to identify the complications including their types and rates, the contributing factors, the approaches to measure and the techniques to avoid. Methodologically, by quick research on Pubmed and abstract reading of reviews, we characterize five reconstructive areas where FVFBG were most frequently applied: extremities, mandible, spine, osteonecrosis of femoral head, and penile. Following, the complications on different reconstructive areas are retrieved, studied and presented in five (or more specifically, six) separate sections. By the way, meaningful difference between FVFBG and other bone flap was presented in a few words if necessary. Donor-site morbidities were studied and summarized as a whole. In these literatures, the evidences documented on limb and mandibular reconstruction have the fullest detail, followed by the spine and lastly the penile. In conclusion, FVFBG, though a mature technique, needs further deep and comprehensive study and maybe device-based assistance to achieve better reconstructive effect and minimize donor-site damage.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Proximal Fibular Epiphyseal Transfermentioning

confidence: 99%

Complication of osteo reconstruction by utilizing free vascularized fibular bone graft

Zhou

et al. 2020

BMC Surg

View full text Add to dashboard Cite

show abstract

“…As a result, a very good functional outcome can be achieved. The ultimate surgical option is pollicisation to restore or improve the function of the thumb [12,13]. So far, an initially non-operative treatment in patients with a dysplastic scaphoid bone has only been described in four cases.…”

Section: Discussionmentioning

confidence: 99%

Follow-up of 27 years in a case with bilateral dysplasia of the scaphoid bone: a case report and review of the literature

Theunissen

Wijk

Houpt

2020

Handchir Mikrochir Plast Chir

View full text Add to dashboard Cite

“…Several single attempts and a small series have been reported in which the proximal fibula with epiphysis has been used for radial dysplasia (Pho et al., 1988; Sawaizumi et al., 1991; Tsai et al., 1986). A recent article from China has shown some excellent results during short-term follow-up in four Type III RLD cases (Yang et al., 2015). Previously, this vascularized graft has been used mainly in restoring the bone after resection of malignant disease of the forearm or upper arm bones (Aldekhayel et al., 2016; Innocenti et al., 2004).…”

Section: Discussionmentioning

confidence: 99%

Vascularized second metatarsophalangeal joint transfer for radial deficiency – an update

Vilkki

Paavilainen

2018

J Hand Surg Eur Vol

View full text Add to dashboard Cite

Vascularized second metatarsophalangeal joint transfer offers a possibility to reconstruct the radial support which is lacking in radial dysplasia. Our experience from 1987 to 2017 with 34 congenital radial club hand reconstructions have allowed a possibility for long-term evaluation of the method. Compared with conventional methods, second metatarsophalangeal joint transfer results in better wrist mobility and does not restrict typical ulnar growth. The balance of the wrist remains good until age 11. Thereafter, the growth of the vascularized bone graft transfer matches only partially the distal ulnar growth in adolescence, resulting in mild recurrence of radial deviation. A new option to create a two-bone forearm in selected Bayne-Klug Type III radial dysplasia cases will allow a relatively good pro-supination ability. Potentially, a proximal fibular epiphyseal transfer could be a future solution. Currently, a safe harvest of the proximal fibula at childhood remains controversial.

show abstract

Vascularized Proximal Fibular Epiphyseal Transfer for Bayne and Klug Type III Radial Longitudinal Deficiency in Children

Abstract: Therapeutic, IV.

Cited by 25 publications

References 24 publications

Complication of osteo reconstruction by utilizing free vascularized fibular bone graft

Complication of osteo reconstruction by utilizing free vascularized fibular bone graft

Follow-up of 27 years in a case with bilateral dysplasia of the scaphoid bone: a case report and review of the literature

Vascularized second metatarsophalangeal joint transfer for radial deficiency – an update

Contact Info

Product

Resources

About