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.