Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/133046
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dc.titleLengthening in free vascularized fibular graft
dc.contributor.authorLim, I.
dc.contributor.authorKour, A.K.
dc.contributor.authorPho, R.W.H.
dc.date.accessioned2016-12-13T05:39:32Z
dc.date.available2016-12-13T05:39:32Z
dc.date.issued1999
dc.identifier.citationLim, I., Kour, A.K., Pho, R.W.H. (1999). Lengthening in free vascularized fibular graft. Hand Clinics 15 (4) : 585-588. ScholarBank@NUS Repository.
dc.identifier.issn07490712
dc.identifier.urihttp://scholarbank.nus.edu.sg/handle/10635/133046
dc.description.abstractA free vascularized fibular bone transfer was successfully performed in a 1-year-old child to reconstruct the loss of the right humeral shaft following neonatal osteomyelitis. Subsequent growth of the child resulted in gross arm length discrepancy, with associated functional deficits. Callostatic distraction-lengthening of the vascularized fibular graft was carried out to compensate for this limb length discrepancy by using an Ilizarov external fixator. Lengthening of 6 cm over a 3-month period, representing a 75% increase in the original length of the transplanted fibula, was achieved. Active bone regeneration, good corticalization and endosteal medullary cavity formation was observed in the lengthened fibula. The combined modalities of vascularized bone transfer and Ilizarov callostatic distraction-lengthening offer a solution for reconstruction for large segmental bone loss associated with growth arrest of the epiphyseal plates in children.
dc.sourceScopus
dc.typeReview
dc.contributor.departmentORTHOPAEDIC SURGERY
dc.description.sourcetitleHand Clinics
dc.description.volume15
dc.description.issue4
dc.description.page585-588
dc.description.codenHACLE
dc.identifier.isiutNOT_IN_WOS
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