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Reconstruction of congenital pseudarthrosis of the radius with a vascularized tibial periosteal transplant: A case report.
da Costa, Antonio Carlos; Farina Brunelli, Joao Pedro; Rojas-Neira, Juliana; Falcochio, Diego Figueira; Sevilla-Tirado, Juan; Soldado, Francisco.
Afiliação
  • da Costa AC; Orthopaedic and Traumatology Surgery Department-Santa Casa de Sao Paulo, Hand Surgery and microsurgery Group, Sao Paulo, Brazil.
  • Farina Brunelli JP; Orthopaedic and Traumatology Surgery Department-Santa Casa de Sao Paulo, Hand Surgery and microsurgery Group, Sao Paulo, Brazil.
  • Rojas-Neira J; Hand Surgery and Microsurgery Department, Pontificia Javeriana University, Cali, Colombia.
  • Falcochio DF; Orthopaedic and Traumatology Surgery Department-Santa Casa de Sao Paulo, Hand Surgery and microsurgery Group, Sao Paulo, Brazil.
  • Sevilla-Tirado J; Orthopedic Surgery Department, General Hospital of Defense Zaragoza, Zaragoza, Spain.
  • Soldado F; Pediatric Hand Surgery and Microsurgery, Barcelona Children's Hospital, HM Nens, HM Hospitales, Sao Paulo, Brazil.
Microsurgery ; 44(5): e31201, 2024 Jul.
Article em En | MEDLINE | ID: mdl-38886919
ABSTRACT
Congenital pseudarthrosis of the forearm poses a considerable challenge because of its rarity. The objective of this report is to introduce a novel surgical technique for its treatment. Here, we document a case of congenital pseudarthrosis of the radius in a 3-year-old boy diagnosed with type-1 neurofibromatosis. The surgical treatment involved the excision of approximately 9 cm of native radial periosteum and a bifocal radius osteotomy, which was supplemented with a vascularized tibial periosteal transplant to facilitate bone healing. Anastomosis between the anterior tibial vessels and radial vessels was performed. No immediate or late postoperative complications were observed. After 3 weeks, a robust callus formation was observed, and during a follow-up examination 3 years and 4 months later, a wide range of active forearm rotation was noted. This report suggests that vascularized periosteal flaps show promise as a viable treatment option for congenital pseudarthrosis of the forearm. They offer an alternative to vascularized fibular grafts or single-bone forearm constructs.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Periósteo / Pseudoartrose / Tíbia Limite: Child, preschool / Humans / Male Idioma: En Revista: Microsurgery Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Periósteo / Pseudoartrose / Tíbia Limite: Child, preschool / Humans / Male Idioma: En Revista: Microsurgery Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos