[Basis and clinical applications of vascularized epiphyseal transplantation].
OBJECTIVE
To introduce the basic research and clinical applications of the vascularized epiphyseal transplantation.


METHODS
The applied anatomy, experimental researches, and clinical application about the vascularized epiphyseal transplantation were summarized in the past two decades. The effectiveness of epiphyseal transplantation were discussed in the article.


RESULTS
The epiphysis flap of fibular head with inferior lateral genicular artery and the epiphysis flap of iliac with deep superior branch of superior gluteal artery can be used as the donor sites of epiphyseal transplantation. Animal experiments proved that the vascularized epiphysis survived and maintained growth after transplantation. In a typical case undergoing distal ulnar reconstruction by the graft of peroneal epiphyseal, the 18-year follow-up results showed that the repaired ulna was nearly as long as the contralateral side and the function of the forearm was good.


CONCLUSIONS
It is an effective way to repair epiphyseal defects of long bones in children with vascularized epiphyseal transplantation.
Department of Micro-orthopedics, Zhongnan Hospital of Wuhan University, Wuhan Hubei 430071, PR China. chenzhenguangfz@163.com
Zhenguang
Z
Chen
Fahui
F
Zhang
Weihong
W
Xu
D016025:Bone Transplantation; D004838:Epiphyses / Q000637:transplantation; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D013524:Surgical Flaps / Q000098:blood supply