title: Progressive valgus deformity of the donor-site ankle after extraperiosteal harvesting the fibular shaft in children. Treatment with osteotomy and synostosis at one session.
abstract: After extraperiosteal harvesting of the fibular shaft in children, progressive valgus deformity of the donor-site ankle may pose a serious problem. We present three illustrative case-histories: three children became functionally impaired and required surgery. Pathogenesis, natural history and surgical options are discussed. A supramalleolar osteotomy combined with a distal fibular-tibial synostosis is a good option to correct valgus and eliminate instability in one surgical session.
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
authors.forename: Fientje J C
authors.initials: FJ
authors.lastname: Van der Veen
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, Emma Children's Hospital, Academic Medical Centre, Amsterdam, The Netherlands.
authors.forename: Simon D
authors.initials: SD
authors.lastname: Strackee
authors.affiliation: Department of Orthopaedic Surgery, Emma Children's Hospital, Academic Medical Centre, Amsterdam, The Netherlands.
authors.forename: Philip P
authors.initials: PP
authors.lastname: Besselaar
keywords: Ankle; Donor-site morbidity; Valgus deformity; Vascularized fibular graft