Résumé
A case is presented of an 18-year-old athlete with fibrous dysplasia of the femoral neck and head. The approach was by joint plastic and orthopaedic teams, which minimized operating time and allowed the option of vascular bone grafting. The lesion was curetted through a greater trochanteric window and the defect reconstructed with a free vascularized fibula graft with excellent result. Weight bearing was achieved in six months and there was minimal donor site morbidity. We believe the free vascularized fibula graft to be a reconstructive option, in difficult orthopaedic problems, facilitated by microsurgery and there is immense benefit of a joint effort between the orthopaedic and plastic surgical teams
Sujets)
Humains , Adolescent , Tête du fémur/anatomopathologie , Kystes osseux/chirurgie , Fibula/transplantation , Nécrose de la tête fémorale/chirurgie , Transplantation osseuse/méthodes , Tête du fémur , Kystes osseux/anatomopathologie , Kystes osseux , Microchirurgie , Nécrose de la tête fémorale/anatomopathologie , Nécrose de la tête fémorale , , Transplantation autologueRésumé
The radial forearm free flap is one of the most commonly used free flaps in reconstructive surgery. It is a recognized option for facial reconstruction internationally, but, to our knowledge, it has not been widely used in the Caribbean. We present a patient who posed a difficult reconstructive problem, for which the radial forearm free flap was the ideal solution, utilizing the flap's features of a long length of pedicle, large area of coverage, minimal tissue bulk, and options for further cosmetic revision