title: Minimally invasive harvesting of nonvascularized fibular graft in children.
abstract: Using a nonvascularized fibular graft is part of the therapeutic arsenal for filling bone loss defects. It is conventionally performed by open surgery. The authors propose a minimally invasive technique for harvesting a free fibular graft. The fibula was removed subperiosteally by two or three small incisions in five patients with a mean age of nine years and nine months. The mean surgical time was 21 min and 40.5% of the length of the fibula was harvested. At the donor site, we found no removal-related complications, regeneration of the fibula was observed in 80% of cases, and the cosmetic result was considered excellent by all patients with a mean 4.3 years follow-up. This minimally invasive technique is simple and fast, with very low morbidity in our experience.
authors.affiliation: Service de chirurgie pédiatrique, CHU de Rennes, 35033 Rennes, France; Faculté de médecine, université Rennes 1, 35043 Rennes, France.
authors.forename: G
authors.initials: G
authors.lastname: Lucas
authors.affiliation: Service de chirurgie pédiatrique, CHU de Rennes, 35033 Rennes, France; Faculté de médecine, université Rennes 1, 35043 Rennes, France.
authors.forename: J
authors.initials: J
authors.lastname: Lopez
authors.affiliation: Service de chirurgie pédiatrique, CHU de Rennes, 35033 Rennes, France; Faculté de médecine, université Rennes 1, 35043 Rennes, France.
authors.forename: B
authors.initials: B
authors.lastname: Fraisse
authors.affiliation: Service de chirurgie pédiatrique, CHU de Rennes, 35033 Rennes, France; Faculté de médecine, université Rennes 1, 35043 Rennes, France.
authors.forename: S
authors.initials: S
authors.lastname: Marleix
authors.affiliation: Service de chirurgie pédiatrique, CHU de Rennes, 35033 Rennes, France; Faculté de médecine, université Rennes 1, 35043 Rennes, France. Electronic address: philippe.violas@chu-rennes.fr.
authors.forename: P
authors.initials: P
authors.lastname: Violas
mesh_terms: D000293:Adolescent; D001847:Bone Diseases / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005360:Fibula / Q000098:blood supply / Q000637:transplantation*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D020858:Tissue and Organ Harvesting / Q000379:methods*
keywords: Bone defect; Minimally invasive; Nonvascularized fibular graft