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Case 64: Repair and Lengthening After Nonunion of Free Vascularized Fibula Graft for Reconstruction of Osteosarcoma of the Tibia

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Limb Lengthening and Reconstruction Surgery Case Atlas

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Abstract

A free vascularized fibula reconstruction after resection of osteosarcoma in a child failed with deformity and nonunion. This case illustrates a successful reconstruction of the free vascularized fibula-proximal tibia nonunion. Additional treatment issues included correction of ankle deformity using guided growth and lengthening of the femur with a monolateral frame to correct leg length discrepancy (LLD).

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References and Suggested Reading

  • Ilizarov S, Blyakher A, Rozbruch SR (2007) Lengthening of a free fibula graft after osteosarcoma resection of the humerus. Clin Orthop Relat Res 457:242–246

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  • McCoy T, Kim HJ, Cross MB, Fragomen A, Healey JH, Athanasian EA, Rozbruch SR (2013) Bone tumor reconstruction with the Ilizarov method. J Surg Oncol 107:343–352. Epub ahead of print, July 17, 2012

    Article  PubMed  Google Scholar 

  • Rozbruch SR, Pugsley JS, Fragomen AT, Ilizarov S (2008) Repair of tibial nonunions and bone defects with the Taylor Spatial Frame. J Orthop Trauma 22(2):88–95

    Article  PubMed  Google Scholar 

  • Stevens PM, Kennedy JM, Hung M (2011) Guided growth for ankle valgus. J Pediatr Orthop 31(8):878–883. doi:10.1097/BPO.0b013e318236b1df

    Article  PubMed Central  PubMed  Google Scholar 

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Authors and Affiliations

  1. Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY, USA

    S. Robert Rozbruch

Authors
  1. S. Robert Rozbruch
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Correspondence to S. Robert Rozbruch .

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Editors and Affiliations

  1. Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery, New York, New York, USA

    S. Robert Rozbruch

  2. Shriners Hospital and Montreal Children Hospital, Division of Paediatric Orthopaedics, Shriners Hospital and Montreal Children Hospital, Division of Paediatric Orthopaedics, Montreal, Québec, Canada

    Reggie C. Hamdy

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© 2015 Springer International Publishing Switzerland

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Rozbruch, S.R. (2015). Case 64: Repair and Lengthening After Nonunion of Free Vascularized Fibula Graft for Reconstruction of Osteosarcoma of the Tibia. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18020-5_271

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  • DOI: https://doi.org/10.1007/978-3-319-18020-5_271

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18019-9

  • Online ISBN: 978-3-319-18020-5

  • eBook Packages: MedicineReference Module Medicine

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