Lengthening After Nonvascularized Fibula Grafting for Large Postinfective Bone Defect: A Case Report with Long Follow-up. Issue 2 (April 2021)

• Record Type: Journal Article
• Authors: Pinto, Deepika; Mehta, Rujuta; Agashe, Mandar
• Is Part Of: JBJS case connector. Volume 11:Issue 2(2021)
• Publication Date: 2021-04
• Subjects: nonvascularized fibula graft -- bone lengthening -- postinfective bone defect -- distraction osteogenesis; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.00749
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: We describe a case of lengthening of the tibial regenerate after nonvascularized fibula grafting, for postinfective tibial gap nonunion in a child. A large tibial defect secondary to osteomyelitis in a 10-month-old boy was reconstructed using a 5-cm fibula autograft. Concomitant distal tibial physeal arrest led to progressive shortening. Distraction osteogenesis was performed, through the grafted segment, on 2 occasions—at the ages of 3.5 and 8 years—to achieve total lengthening of 9 cm and good functional recovery at 11.5 years of age. Conclusion: The tibial regenerate after nonvascularized fibula grafting in children has good potential for distraction osteogenesis.