Clinical Orthopaedics and Related Research

, Volume 467, Issue 5, pp 1377–1384

Case Reports: Lengthening of a Vascularized Free Fibular Graft

  • Aurélien Courvoisier
  • Frédéric Sailhan
  • Pierre Mary
  • Jean-Paul Damsin
Case Report

DOI: 10.1007/s11999-008-0663-z

Cite this article as:
Courvoisier, A., Sailhan, F., Mary, P. et al. Clin Orthop Relat Res (2009) 467: 1377. doi:10.1007/s11999-008-0663-z

Abstract

Wide bone resection is sometimes necessary for bone tumors, and reconstruction is a major challenge. Vascularized fibular graft is one alternative but may result in progressive limb-length discrepancy (LLD) in children with substantial growth left. Progressive distraction lengthening with an external fixator is now a standard procedure to generally correct LLD. However, lengthening of free vascularized fibular grafts for lower limb reconstruction has not been reported frequently and then only in small series or case reports. We report our experience with three patients with lengthening after tibial reconstruction with a free vascularized fibular graft and review the literature.

Copyright information

© The Association of Bone and Joint Surgeons 2008

Authors and Affiliations

  • Aurélien Courvoisier
    • 1
    • 2
  • Frédéric Sailhan
    • 1
  • Pierre Mary
    • 1
  • Jean-Paul Damsin
    • 1
  1. 1.Pediatric Orthopaedics DepartmentArmand Trousseau HospitalParisFrance
  2. 2.GrenobleFrance