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Vascularized tibial periosteal graft in complex cases of bone nonunion in children
Author(s) -
Soldado Francisco,
Knörr Jorge,
Haddad Sleiman,
Corona Pablo S.,
BarreraOchoa Sergi,
Collado Diego,
Mascarenhas Vasco V.,
Gauzy Jerome Sales
Publication year - 2015
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.22342
Subject(s) - medicine , nonunion , surgery , pseudarthrosis , microsurgery , context (archaeology) , bone healing , intramedullary rod , paleontology , biology
Bone nonunion in the pediatric population usually occurs in the context of highly unfavorable biological conditions. Recently, the vascularized fibular periosteal flap has been reported as a very effective procedure for treating this condition. Even though a vascularized tibial periosteal graft (VTPG) was described long ago and has been successfully employed in one adult case, there has been no other report published on the use of this technique. We report on the use of VTPG, pedicled in the anterior tibial vessels, for the treatment of two complex pediatric bone nonunion case: a recalcitrant supracondylar femoral pseudarthrosis secondary to an infection in an 11‐year‐old girl, and a tibial nonunion secondary to a failed bone defect reconstruction in a 12‐year‐old girl. Rapid healing was obtained in both cases. In the light of the data presented, we consider VTPG as a valuable surgical option for the treatment of complex bone nonunions in children. © 2014 Wiley Periodicals, Inc. Microsurgery 35:239–243, 2015.