Background The most common sites affected in pediatric osteomyelitis are long bones of lower extremities such as femur and tibia but isolated fibular osteomyelitis has rarely been reported in children. Here, we present a case of isolated chronic osteomyelitis of fibula in a 2.5-year-old girl. To our knowledge, this is the youngest patient repor...

Microvascular surgery plays an important reconstructive role in the pediatric population. Successful outcomes rely on surgical technique as well as anesthesia. Regional anesthesia contributes to successful free tissue transfer through sympathetic blockade, postoperative pain control, and elimination of risks and costs associated with general anesthesia. While regional anesthesia in microsurgery...

BACKGROUND The vascularized free fibula epiphyseal transfer provides an option for the preservation of limb lengthening after resection of the proximal humerus in pediatric sarcoma patients. The purpose of this study was to provide a long-term follow-up of longitudinal growth patterns and outcomes after free fibula epiphyseal transfer in upper extremity reconstruction. METHODS A retrospective...

Bone grafts are commonly used in all specialties of orthopaedic surgery, and an understanding of the principles and techniques of bone grafting is critical to the care of traumatic, developmental, and reconstructive musculoskeletal conditions. While most orthopaedic surgeons are familiar with the utilization of non-vascularized bone graft and bone graft substitutes, the applications of vascular...

Vascularized free fibula transfer remains the gold standard for reconstruction of large segmental diaphyseal defects of the upper extremity. In the pediatric patient, before skeletal maturity, free fibula transfer with the fibular head provides an active physis for growth and an articular interface for glenohumeral joint reconstruction. Clinical and cadaveric studies have demonstrated that the ...

Understanding the etiology of pediatric pedestrianmotor vehicle injuries requires a complete understanding of the distribution of these injuries by severity, body region, and age. A review is presented of injuries to all pediatric pedestrian crash victims that survived to presentation to a pediatric level one trauma center (Children’s National Medical Center, Washington, D.C., USA). The data is...

Aneurysmal bone cysts (ABC) are rare, benign, expansile lesions of bone often found in the metaphyses of long bones in pediatric and young adult population. Multiple fluid levels are typically seen on imaging with magnetic resonance imaging (MRI) or computed tomography (CT). We describe a case of a primary ABC in the fibula of a 34-year-old man diagnosed on ultrasound with a mobile fluid level ...

COL1A1 haploinsufficiency mutations lead to the mildest form of osteogenesis imperfecta (OI), OI type I. The skeletal clinical characteristics resulting from such mutations have not been characterized in detail. In this study we assessed 86 patients (36 male, 50 female; mean age 13.3 years; range, 0.6 to 54 years) with COL1A1 haploinsufficiency mutations, of whom 70 were aged 21 years or less (...

Skeletal reconstruction after large tumor resection is challenging. The free vascularized fibular graft (FVFG) offers the potential for rapid autograft incorporation as well as growing physeal transfer in pediatric patients. We retrospectively reviewed eleven pediatric patients treated with FVFG reconstructions of the upper extremity after tumor resection. Eight male and three female patients w...