Reconstruction of part of the distal tibial growth plate with an autologous graft from the iliac crest.
We describe the reconstruction of a defect of the medial malleolus which was the result of an accident in a ten-year-old child. A graft from the iliac crest, with the apophyseal cartilage and perichondrium, was used for reconstruction of the medial malleolus, the growth plate and the adjacent metaphyseal defect, respectively. The soft-tissue defect was covered with a free scapular flap with microvascular anastomosis. Three years after the injury stability of the ankle is excellent with adequate growth of the reconstructed epiphyseal plate.
Mayr
J M
JM
Department of Paediatric Surgery, Karl-Franzens-University of Graz, Austria.
Pierer
G R
GR
Linhart
W E
WE
D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D006132:Growth Plate / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008297:Male; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D000072042:Salter-Harris Fractures; D013977:Tibia / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D014182:Transplantation, Autologous