Long-term effect on foot and ankle donor site following vascularized fibular graft resection in children
This study was carried out to evaluate the long-term effect on the donor side of the foot and ankle following vascularized fibular graft resection in children. Eight patients underwent resection of the fibula for the purpose of a vascularized fibular graft by a surgical team who practiced leavi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English English |
| Published: |
Wolters Kluwer Health, Inc.
2015
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/44144/ http://irep.iium.edu.my/44144/ http://irep.iium.edu.my/44144/ http://irep.iium.edu.my/44144/1/Long-term_effect_on_foot_and_ankle_donor_site_following_vascularized_fibular_graft_resection_in_children.pdf http://irep.iium.edu.my/44144/4/44144_Long-term%20effect%20on%20foot%20and%20ankle%20donor%20site%20following%20vascularized%20fibular%20graft%20resection%20in%20children_SCOPUS.pdf |
| Summary: | This study was carried out to evaluate the long-term effect
on the donor side of the foot and ankle following
vascularized fibular graft resection in children. Eight
patients underwent resection of the fibula for the purpose of
a vascularized fibular graft by a surgical team who practiced
leaving at least 6 cm residual distal fibula. The age of these
children at the time of surgery was between 3 and 12 years.
They were reviewed between 3 and 12 years after surgery.
Two patients who underwent resection of the middle shaft
of the fibula at 3 and 5 years of age developed abnormal
growth of the distal tibia, leading to ankle valgus. They were
treated with growth modulation of the distal tibial physis
and supramalleolar osteotomy with tibiofibular synostosis.
Another patient who underwent the entire proximal fibula
resection at the age of 6 years had developed hindfoot
valgus because of weakness of the tibialis posterior
muscle. He required talonavicular fusion and flexor hallucis
to tibialis posterior muscle transfer. Patients operated at the
age of older than 8 years neither had ankle nor hindfoot |
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