Case report: histologic study of a human epiphyseal transplant at 3 years after implantation.
A 5-year-old boy underwent surgical excision of a Ewing's sarcoma of the proximal femur. Reconstruction was performed using an ipsilateral vascularized epiphyseal transplant and a femoral allograft. Local recurrence of the tumor necessitated hip disarticulation 3 years after the initial procedure. We then performed a histologic analysis of the transplant. The growth plate was still normal in structure but had richly vascularized hyperplastic layers. We observed bridging between the articular cartilage and the growth plate.
Sales de Gauzy
J
J
Department of Pediatric Orthopaedic Surgery, Hôpital des Enfants, Toulouse, France.
Accadbled
F
F
Gomez Brouchet
A
A
Abid
A
A
D002675:Child, Preschool; D005264:Femoral Fractures / Q000601:surgery; D005266:Femoral Neoplasms / Q000601:surgery*; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D005360:Fibula / Q000000981:diagnostic imaging / Q000637:transplantation*; D006085:Graft Survival; D006132:Growth Plate / Q000000981:diagnostic imaging / Q000637:transplantation*; D006801:Humans; D016268:Internal Fixators; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012086:Reoperation; D012512:Sarcoma, Ewing / Q000601:surgery*