We resected the proximal femur in a 4-year-old child who had Ewing's sarcoma. We reconstructed her hip by an autotransplant of the ipsilateral proximal fibula with its vascular supply, inserted inside a massive bone allograft, and fixed to the residual femur by a plate. Serial postoperative imaging showed the progressive hypertrophy of the transplanted fibula, whose head displayed impressive tridimensional growth inside the acetabulum. 4 years after surgery, hip motility is 100 degrees in flexion, 10 degrees in extension, and 30 degrees in abduction, and the patient's limb is weight bearing.
Original biological reconstruction of the hip in a 4-year-old girl / Manfrini M; Innocenti M; Ceruso M; Mercuri M.. - In: THE LANCET. - ISSN 0140-6736. - STAMPA. - (2003), pp. 140-142.
Original biological reconstruction of the hip in a 4-year-old girl.
INNOCENTI, MARCO;
2003
Abstract
We resected the proximal femur in a 4-year-old child who had Ewing's sarcoma. We reconstructed her hip by an autotransplant of the ipsilateral proximal fibula with its vascular supply, inserted inside a massive bone allograft, and fixed to the residual femur by a plate. Serial postoperative imaging showed the progressive hypertrophy of the transplanted fibula, whose head displayed impressive tridimensional growth inside the acetabulum. 4 years after surgery, hip motility is 100 degrees in flexion, 10 degrees in extension, and 30 degrees in abduction, and the patient's limb is weight bearing.I documenti in FLORE sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.