title: Vascularized fibula-based physis transfer for pediatric proximal humerus reconstruction.
abstract: Free vascularized fibular transfer has become a standard procedure in upper extremity reconstruction after resection of osteogenic tumors. The authors present two rare pediatric cases of high-grade osteosarcoma resection of the proximal humerus. A free vascularized fibula autograft including the physis based on the anterior tibial artery and vein was used for reconstruction in a delayed (case 1) and immediate (case 2) approach. The main focus of the article is to describe the surgical technique, which is also presented in a series of intraoperative videos.
  
  
  METHODS
  Therapeutic, V.
authors.affiliation: Durham, N.C.; and Philadelphia, Pa. From the Division of Plastic, Reconstructive, Maxillofacial and Oral Surgery, Department of Surgery, and the Department of Orthopaedics, Duke University Medical Center; and the Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania.
authors.forename: Detlev
authors.initials: D
authors.lastname: Erdmann
authors.forename: Ryan M
authors.initials: RM
authors.lastname: Garcia
authors.forename: Gert
authors.initials: G
authors.lastname: Blueschke
authors.forename: Brian E
authors.initials: BE
authors.lastname: Brigman
authors.forename: L Scott
authors.initials: LS
authors.lastname: Levin
mesh_terms: D001707:Biopsy, Needle; D001859:Bone Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D002675:Child, Preschool; D005260:Female; D005360:Fibula / Q000098:blood supply* / Q000637:transplantation; D005500:Follow-Up Studies; D006801:Humans; D058430:Humeral Head / Q000473:pathology / Q000601:surgery*; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D016343:Monitoring, Intraoperative; D012516:Osteosarcoma / Q000175:diagnosis / Q000601:surgery*; D020069:Shoulder Pain / Q000175:diagnosis / Q000209:etiology; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014741:Video Recording
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