Alexander F Dagi, Nikhil A Gangoli, Michael B Amrami, Sarah E Diaddigo, Wakenda K Tyler, Christine H Rohde, Adam Jacoby, Jarrod T Bogue
{"title":"Vascularized Fibular Epiphyseal Transfer for Pediatric Oncoplastic Reconstruction: Two Case Reports.","authors":"Alexander F Dagi, Nikhil A Gangoli, Michael B Amrami, Sarah E Diaddigo, Wakenda K Tyler, Christine H Rohde, Adam Jacoby, Jarrod T Bogue","doi":"10.1097/SAP.0000000000004485","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Vascularized fibular epiphyseal transfer (VFET) has emerged as a reconstructive option for pediatric patients requiring limb salvage with preservation of growth potential. We presented 2 cases of VFET to the humerus following oncologic resection for osteosarcoma in children aged 11 and 5 years. Both cases demonstrated growth plate viability postoperatively, with serial imaging confirming annual growth rates of 0.8-1.2 cm/y. Despite successful bone growth, both patients developed persistent foot drop at donor sites requiring ankle-foot orthoses. We described our surgical technique, functional outcomes, and neurovascular complications. Additionally, we described a cost-effective growth monitoring method using a radio-opaque ruler, particularly valuable in resource-limited settings. This report contributes to the limited literature on VFET outcomes and highlights the need for improved techniques to mitigate donor site morbidity.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":"390-393"},"PeriodicalIF":1.6000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SAP.0000000000004485","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/24 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Vascularized fibular epiphyseal transfer (VFET) has emerged as a reconstructive option for pediatric patients requiring limb salvage with preservation of growth potential. We presented 2 cases of VFET to the humerus following oncologic resection for osteosarcoma in children aged 11 and 5 years. Both cases demonstrated growth plate viability postoperatively, with serial imaging confirming annual growth rates of 0.8-1.2 cm/y. Despite successful bone growth, both patients developed persistent foot drop at donor sites requiring ankle-foot orthoses. We described our surgical technique, functional outcomes, and neurovascular complications. Additionally, we described a cost-effective growth monitoring method using a radio-opaque ruler, particularly valuable in resource-limited settings. This report contributes to the limited literature on VFET outcomes and highlights the need for improved techniques to mitigate donor site morbidity.
期刊介绍：
The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.
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