Free Vascularized Fibula Salvage of Failed CPH in Pediatric Sarcoma Patients.

ABSTRACT:

Background

Due to extended life expectancy and recent improvements in surgical techniques, limb salvage has replaced amputation as the gold standard and is now performed in 90-95% of upper extremity malignancies. However, many of these salvage procedures are associated with significant postsurgical complications. In particular, the clavicula pro humero (CPH) procedure is associated with high rates of nonunion. We present our experience with upper extremity salvage using the free vascularized fibular flap (VFF) after failure or nonunion of the original CPH procedure in the pediatric population.

Methods

Five patients under the age of 18 diagnosed with upper extremity sarcoma who underwent tumor resection with immediate CPH reconstruction complicated with nonunion, and subseque

SUBMITTER: Pires G 

PROVIDER: S-EPMC9110248 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature