title: Lengthening of intercalary allograft combined with free  vascularized fibular graft after reconstruction in pediatric  osteosarcoma of femur.
abstract: Involvement of the growth plate by a tumor or an injured growth plate during surgical procedures causes a discrepancy in the limb length. To address this problem,distraction osteogenesis is a well-established procedure for the treatment of defect and leg length discrepancy inviable bone tissues. We present the lengthening of an intercalary allograft combined with a vascularized fibular graft after reconstruction of osteosarcoma in the femoral metaphysis of a 10-year-old boy. The ability to lengthen through a composite allograft-vascularized fibular graft would add another option for reconstruction in skeletally immature children after resection for bone sarcomas.
authors: Kyung Hee Medical Center, School of Medicine, Kyung Hee University, Seoul, Korea.
authors: Chung-Soo
authors: CS
authors: Han
authors: Duke-Whan
authors: DW
authors: Chung
authors: Jung-Hee
authors: JH
authors: Lee
authors: Bi-O
authors: BO
authors: Jeong
mesh_terms: D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D005269:Femur / Q000473:pathology / Q000601:surgery*; D005360:Fibula / Q000098:blood supply / Q000000981:diagnostic imaging / Q000637:transplantation*; D006801:Humans; D018889:Ilizarov Technique; D023821:Limb Salvage / Q000379:methods; D008297:Male; D016348:Osseointegration; D019857:Osteogenesis, Distraction / Q000379:methods*; D012516:Osteosarcoma / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D014184:Transplantation, Homologous; D016896:Treatment Outcome