Reconstruction of congenital pseudarthrosis of the radius with a vascularized tibial periosteal transplant: A case report.

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  • Additional Information
    • Source:
      Publisher: Wiley-Liss Country of Publication: United States NLM ID: 8309230 Publication Model: Print Cited Medium: Internet ISSN: 1098-2752 (Electronic) Linking ISSN: 07381085 NLM ISO Abbreviation: Microsurgery Subsets: MEDLINE
    • Publication Information:
      Publication: Hoboken, NJ : Wiley-Liss
      Original Publication: New York : Alan R. Liss, [c1983-
    • Subject Terms:
      Pseudarthrosis*/congenital ; Pseudarthrosis*/surgery ; Periosteum*/transplantation ; Tibia*/surgery; Humans ; Male ; Child, Preschool ; Neurofibromatosis 1/complications ; Neurofibromatosis 1/surgery ; Plastic Surgery Procedures/methods ; Surgical Flaps/blood supply ; Surgical Flaps/transplantation ; Osteotomy/methods ; Radius/transplantation ; Radius/surgery ; Radius/abnormalities ; Bone Transplantation/methods
    • Abstract:
      Congenital pseudarthrosis of the forearm poses a considerable challenge because of its rarity. The objective of this report is to introduce a novel surgical technique for its treatment. Here, we document a case of congenital pseudarthrosis of the radius in a 3-year-old boy diagnosed with type-1 neurofibromatosis. The surgical treatment involved the excision of approximately 9 cm of native radial periosteum and a bifocal radius osteotomy, which was supplemented with a vascularized tibial periosteal transplant to facilitate bone healing. Anastomosis between the anterior tibial vessels and radial vessels was performed. No immediate or late postoperative complications were observed. After 3 weeks, a robust callus formation was observed, and during a follow-up examination 3 years and 4 months later, a wide range of active forearm rotation was noted. This report suggests that vascularized periosteal flaps show promise as a viable treatment option for congenital pseudarthrosis of the forearm. They offer an alternative to vascularized fibular grafts or single-bone forearm constructs.
      (© 2024 Wiley Periodicals LLC.)
    • References:
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    • Subject Terms:
      Congenital pseudoarthrosis
    • Publication Date:
      Date Created: 20240618 Date Completed: 20240618 Latest Revision: 20240618
    • Publication Date:
      20240619
    • Accession Number:
      10.1002/micr.31201
    • Accession Number:
      38886919