Long-term effect on foot and ankle donor site following vascularized fibular graft resection in children

Sulaiman, Abdul Razak and Wan, Zulmi and Awang, Mohd Shukrimi and Che Ahmad, Aminudin and Halim, Ahmad Sukari and Ahmad Mohd Zain, Rajaei (2015) Long-term effect on foot and ankle donor site following vascularized fibular graft resection in children. Journal of Pediatric Orthopaedics B, 24 (5). pp. 450-455. ISSN 1060-152X

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Abstract

This study was carried out to evaluate the long-term effect on the donor side of the foot and ankle following vascularized fibular graft resection in children. Eight patients underwent resection of the fibula for the purpose of a vascularized fibular graft by a surgical team who practiced leaving at least 6 cm residual distal fibula. The age of these children at the time of surgery was between 3 and 12 years. They were reviewed between 3 and 12 years after surgery. Two patients who underwent resection of the middle shaft of the fibula at 3 and 5 years of age developed abnormal growth of the distal tibia, leading to ankle valgus. They were treated with growth modulation of the distal tibial physis and supramalleolar osteotomy with tibiofibular synostosis. Another patient who underwent the entire proximal fibula resection at the age of 6 years had developed hindfoot valgus because of weakness of the tibialis posterior muscle. He required talonavicular fusion and flexor hallucis to tibialis posterior muscle transfer. Patients operated at the age of older than 8 years neither had ankle nor hindfoot

Item Type:	Article (Journal)
Additional Information:	3447/44144
Uncontrolled Keywords:	ankle, children, donor, foot, valgus, vascularized fibular graft
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	Assoc. Prof Mohd Shukrimi Awang
Date Deposited:	05 Aug 2015 09:35
Last Modified:	22 Nov 2017 09:45
URI:	http://irep.iium.edu.my/id/eprint/44144

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