Gait performance in an original biologic reconstruction of proximal femur in a skeletally immature child: a case report.
Biologic reconstruction of the femoral head by a sophisticated autotransplantation of the proximal growing fibula associated with a massive bone allograft has been performed in a 4-year-old girl affected by Ewing's sarcoma. The child was treated in 1997 and then followed: clinical and functional tests were performed 2, 3, 4, 6, and 7 years after surgery. Gait and specific motor tasks were assessed by means of motion analysis instruments. The patient was followed by a specific rehabilitation program, aimed at controlling load on the treated limb, resuming good muscle function, and recovering a physiological pattern of movement during daily routine activities. The outstanding radiographic evolution 8 years after surgery with the peroneal head progressively remodeled as a femoral head, and the more than satisfactory gait pattern observed at last follow-up, makes this study a keystone of experience and knowledge to be applied to other patients.
Benedetti
Maria Grazia
MG
Movement Analysis Laboratory, Istituti Ortopedici Rizzoli, Bologna, Italy. benedet@ior.it
Straudi
Sofia
S
Berti
Lisa
L
Leardini
Alberto
A
Manfrini
Marco
M
D001859:Bone Neoplasms / Q000601:surgery; D016025:Bone Transplantation / Q000534:rehabilitation*; D002675:Child, Preschool; D005260:Female; D005270:Femur Head / Q000601:surgery*; D005360:Fibula / Q000637:transplantation; D005684:Gait; D006615:Hip / Q000000981:diagnostic imaging; D006801:Humans; D011859:Radiography; D012512:Sarcoma, Ewing / Q000601:surgery