Proximal tibial reconstruction with auto transplantation of the fibular growth plate: two case reports, describing the surgical technique

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dc.citation.volume5
dc.contributor.authorRibeiro Baptista, Pedro Pericles
dc.contributor.authorBannwart, Cassiano Leao
dc.contributor.authorRibeiro Batista, Felipe Augusto
dc.contributor.authorBellan, Davi Gabriel [UNIFESP]
dc.coverageCham
dc.date.accessioned2020-07-22T13:23:07Z
dc.date.available2020-07-22T13:23:07Z
dc.date.issued2016
dc.description.abstractIntroduction: Tumors of the proximal tibia, in children, can affect the growth plate and pose a challenge to further reconstruction of the bone defects resulting from tumor resection. Reconstruction methods do not always compensate the potential for bone growth in this segment. We present a new surgical technique of bone reconstruction, based on the transposition of the ipsilateral fibula with its growth plate and the use of an internal sliding fixation device, without need for microsurgical technique. Case description: We report two patients with osteosarcoma of the proximal tibia affecting the growth cartilage who were treated with the new technique. Discussion and Evaluation: In both cases, bone healing, hypertrophy and longitudinal growth of the transposed fibula were documented. Conclusions: This new technique preserves the blood supply of the auto-transplanted bone segment, maintaining physeal growth potential, with no need for microsurgery. The implant allows longitudinal bone growth, which was radiographically confirmed.en
dc.description.affiliationFed Univ Sao Paulo UNIFESP, Oncol Orthoped Div, Sao Paulo, Brazil
dc.description.affiliationSanta Casa Sao Paulo, Fac Med Sci, Orthoped Div, Sao Paulo, Brazil
dc.description.affiliationSanta Casa Sao Paulo, Fac Med Sci, Hand Surg Div, Sao Paulo, Brazil
dc.description.affiliationR Gen Jardim, 846 Conjunto 41, BR-01223010 Sao Paulo, SP, Brazil
dc.description.affiliationUnifespFed Univ Sao Paulo UNIFESP, Oncol Orthoped Div, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.1186/s40064-016-2042-7
dc.identifier.citationSpringerplus. Cham, v. 5, p. -, 2016.
dc.identifier.doi10.1186/s40064-016-2042-7
dc.identifier.fileWOS000375701600001.pdf
dc.identifier.issn2193-1801
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56046
dc.identifier.wosWOS:000375701600001
dc.language.isoeng
dc.publisherSpringer International Publishing Ag
dc.relation.ispartofSpringerplus
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGrowthen
dc.subjectSlidingen
dc.subjectDeviceen
dc.subjectFibulaen
dc.subjectPhysisen
dc.subjectFixationen
dc.subjectSarcomaen
dc.subjectTibializationen
dc.subjectTransplanten
dc.titleProximal tibial reconstruction with auto transplantation of the fibular growth plate: two case reports, describing the surgical techniqueen
dc.typeinfo:eu-repo/semantics/article
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