Right Ulnar Reconstruction after Sequestrectomy by Non-Vascularized Fibular Transfer in a Girl of Three Years  

作　　者：Missoki Azanlédji Boume Kwami Edem Edoh Bikor Yawa Sesime Sanni Nguefack Blanchard Noumedem Cynthia Evlo Vanessa Akakpo Gamédzi Komlatsè Akakpo-Numado Missoki Azanlédji Boume;Kwami Edem Edoh Bikor;Yawa Sesime Sanni;Nguefack Blanchard Noumedem;Cynthia Evlo;Vanessa Akakpo;Gamédzi Komlatsè Akakpo-Numado(Pediatric Surgery Department in Kara Teaching Hospital, Kara, Togo;Pediatric Surgery Department in Campus Teaching Hospital, Lomé, Togo)

机构地区：[1]Pediatric Surgery Department in Kara Teaching Hospital, Kara, Togo [2]Pediatric Surgery Department in Campus Teaching Hospital, Lomé, Togo

出　　处：《Open Journal of Orthopedics》2021年第3期73-84,共12页矫形学期刊（英文）

摘　　要：<p style="text-align:justify;"> <span style="font-family:Verdana;">Chronic osteomyelitis is serious because of the orthopedic sequels that they could cause. Extended diaphyseal sequestrations could cause bone loss and their management is delicate. Here we report a case of right ulnar diaphyseal reconstruction by non-vascularized fibula transfer. This was a three-year-old girl, non-sickle cell, who had chronic osteomyelitis of the right ulna. The evolution was towards an almost total ulnar diaphyseal sequestration with externalization of the distal extremity. The removal of this large sequestrum occurred almost spontaneously, leaving a significant bone loss over a length of about 6 cm. Secondarily, we reconstructed the right ulnar diaphysis by transfer of a free non-vascularized graft of the left fibula, maintained by a pin. </span><span style="font-family:Verdana;">The follow up was favorable with almost complete recovery of pro</span><span style="font-family:Verdana;">no-supination. Fibular ossification has evolved as well and we did not notice any complications at the graft collection site. Non-vascularized fibula graft transfer is a useful therapeutic option in the management of significant bone defect</span><span style="font-family:Verdana;">s</span><span style="font-family:Verdana;"> secondary to chronic osteomyelitis of one of the two forearm bones.</span> </p><p style="text-align:justify;"> <span style="font-family:Verdana;">Chronic osteomyelitis is serious because of the orthopedic sequels that they could cause. Extended diaphyseal sequestrations could cause bone loss and their management is delicate. Here we report a case of right ulnar diaphyseal reconstruction by non-vascularized fibula transfer. This was a three-year-old girl, non-sickle cell, who had chronic osteomyelitis of the right ulna. The evolution was towards an almost total ulnar diaphyseal sequestration with externalization of the distal extremity. The removal of this large sequestrum occurred almost spontaneously, leaving a significant bone loss over a length of about 6 cm. Secondarily, we reconstructed the right ulnar diaphysis by transfer of a free non-vascularized graft of the left fibula, maintained by a pin. </span><span style="font-family:Verdana;">The follow up was favorable with almost complete recovery of pro</span><span style="font-family:Verdana;">no-supination. Fibular ossification has evolved as well and we did not notice any complications at the graft collection site. Non-vascularized fibula graft transfer is a useful therapeutic option in the management of significant bone defect</span><span style="font-family:Verdana;">s</span><span style="font-family:Verdana;"> secondary to chronic osteomyelitis of one of the two forearm bones.</span> </p>

关 键 词：Free Fibula Transfer Chronic Osteomyelitis ULNA Child Togo 

分 类 号：R68[医药卫生—骨科学]