| Reconstruction with Vascularized Fibular Epiphyseal Transplantation of Humeral Head Deformity by Septic Arthritis |
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Duke Whan Chung, M.D., Kwang Hee Park, M.D., Jae Wan Seo, M.D. |
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Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University, Seoul, Korea. gowinfree@daum.net |
| 생비골 성장판 이식술을 통하여 화농성 관절염에 의한 상완골두 변형의 재건 |
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| Abstract |
Purpose: To report the clinical and radiological result of the vascularized fibular epiphyseal transplantation in the treatment of humeral head deformity by septic arthritis
Material & Methods: A 3 years old male who has humeral head deformity and bone defect by septic arthritis on neonatal period. We replaced bone defect as vascularized fibular epiphyseal transplantation and lengthened humerus shaft for humerus discrepancy. We followed it up for 14 years.
Result: We saw the callus formation 2 months after surgery and obtained bone union, one year after surgery. The transplanted fibular bone got hypertrophy. We could check full range of motion on lt. shoulder and The bone deformity was not worsened and The graft did not displaced on last follow up.
Conclusion: Humeral head reconstruction by vascularized fibular epiphyseal transplantation showed good clinical outcome. |
| Key Words:
Epiphyseal transplantation, Humreal head, Septic arthritis |
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