Abstract：
BACKGROUND: Pediatric reconstruction of lateral malleolus was necessary and challengeable. Up to now, vascularized fibular was the optimal graft to reconstruct epiphyseal defection. However, the sophisticated microvascular operation has limited the wide application of this technique.
METHODS: We present the case of a 9-year-old boy with Ewing sarcoma in left distal fibula. In order to restore the growth capacity, we used reverse-flow vascularized fibular epiphyseal graft with tibialis anterior artery to reconstruct the bone defect after tumor resection with no microvascular anastomosis. More than 4 years after the operation and adjuvant chemotherapy, the patient was free of pain and recurrence, and the function and stability of ankle joint was perfect. Radiology examination revealed satisfied bony union of fibula and normal growth of the fibular head transplant.
CONCLUSIONS: The advantage of reverse-flow vascularized fibular epiphyseal graft is requiring no microvascular anastomosis which could not only shorten operating time, but also reduce factitious damage of vessels. This report presented that this technique might be an available option for reconstruction of lateral malleolus in children.
METHODS: We present the case of a 9-year-old boy with Ewing sarcoma in left distal fibula. In order to restore the growth capacity, we used reverse-flow vascularized fibular epiphyseal graft with tibialis anterior artery to reconstruct the bone defect after tumor resection with no microvascular anastomosis. More than 4 years after the operation and adjuvant chemotherapy, the patient was free of pain and recurrence, and the function and stability of ankle joint was perfect. Radiology examination revealed satisfied bony union of fibula and normal growth of the fibular head transplant.
CONCLUSIONS: The advantage of reverse-flow vascularized fibular epiphyseal graft is requiring no microvascular anastomosis which could not only shorten operating time, but also reduce factitious damage of vessels. This report presented that this technique might be an available option for reconstruction of lateral malleolus in children.
摘要：
背景：小儿外踝重建是必要且具有挑战性的。到目前为止,血管化腓骨是重建骨phy缺损的最佳移植物。然而,复杂的微血管操作限制了该技术的广泛应用。
方法：我们介绍了一个9岁男孩在左腓骨远端患有尤因肉瘤的病例。为了恢复增长能力，我们使用带胫骨前动脉的反流血管腓骨骨移植重建肿瘤切除后的骨缺损，没有微血管吻合。手术及辅助化疗后4年以上，患者没有疼痛和复发，踝关节功能及稳定性良好。放射学检查显示腓骨骨结合满意，腓骨头移植生长正常。
结论：反流血管腓骨骨移植的优点是不需要微血管吻合，不仅可以缩短手术时间，还可以减少船只的人为损坏。该报告指出，该技术可能是儿童外踝重建的可用选择。
方法：我们介绍了一个9岁男孩在左腓骨远端患有尤因肉瘤的病例。为了恢复增长能力，我们使用带胫骨前动脉的反流血管腓骨骨移植重建肿瘤切除后的骨缺损，没有微血管吻合。手术及辅助化疗后4年以上，患者没有疼痛和复发，踝关节功能及稳定性良好。放射学检查显示腓骨骨结合满意，腓骨头移植生长正常。
结论：反流血管腓骨骨移植的优点是不需要微血管吻合，不仅可以缩短手术时间，还可以减少船只的人为损坏。该报告指出，该技术可能是儿童外踝重建的可用选择。
