Site Map

Bone recalcitrant nonunion or pseudoarthrosis

| Share

Periosteum transfer of vascularized fibula

Absence of binding or repair of a fracture or bone fragment is called non-union or pseudoarthrosis. Although it may occur, it is quite rare in pediatric fractures. However, it is common when we use structural bone allografts (See Figure 3).

The vascularized fibular periosteum has a great ability to form bone and to accelerate bone union. It is therefore a "miraculous" technique in the treatment of congenital pseudoarthrosis of the tibia and recalcitrant non-union in general (Figure 8 AB)
 

CMI

Figure 8A. CT of a tibia. After the use of a massive allograft to treat a tibial Ewing's sarcoma, allograft has did not successfully integrate into the bone. We use a periosteum graft of vascularized fibula to stimulate bone union.
 

CMI

Figure 8B. 3D CT of a tibia. In a short time we managed to unite the pseudoarthrosis. The "miracle" is due to the existence of stem cells in the inner layer of the periosteum, which have great ability to revascularize and to form bone.

Obstetric brachial palsy
Brachial Plexus Birth Palsy: Definition and Mechanisms of Injury:
Risk of brachial plexus birth palsy. Necessary diagnostic tests.
BPBP treatment: physical therapy and surgery
Shoulder problems in children with BPBP
Prevention and Risk of IRCS and DGH
Diagnosis and Treatment of Shoulder Dysplasia
What doctor does my baby need?
Clinical experience of Dr Soldado
Malformations
Short or absent thumb: thumb hypoplasia
Deviated wrist: radial and ulnar clubhand
Short fingers: Brachydactyly, symbrachydactyly, amniotic band syndrome
Less fingers: cleft hand and ulnar clubhand
Extra fingers or thumb: Polydactyly
Glued fingers or syndactyly
Cerebral Palsy
Definition, overview and assessment of cerebral palsy
Upper extremity problems in children with spastic hemiparesis
Nonsurgical treatment of spastic hemiparesis
The upper extremity in cerebral palsy with spastic tetraparesis
Surgical treatment of spastic hemiparesis
Microsurgery
Pediatric vascular microsurgery: overview
Bone loss reconstruction I: Vascularized fibula transfer
Bone loss reconstruction II: Periosteum transfer of vascularized fibula
Bone recalcitrant nonunion or pseudoarthrosis
Bone revascularization (osteonecrosis, aseptic necrosis)
Joint reconstruction. Transfer of epiphysis and growth plate of the vascularized fibula
Reimplantation and revascularization
Functional muscle transfer (vascularized and innervated)
Skin loss coverage
Fractures/Injuries
Overview of fractures
Typical bone fractures in children
Treatment of fractures in children: overview
Classification and treatment of physeal fractures
Fractures of the shoulder girdle, shoulder and arm of the child
Elbow fractures of the child
Fractures of the forearm and wrist of the child
Hand fractures in children
Upper extremity injuries of the child
Francisco Soldado
Doctor Francisco Soldado Videos
CV
Publications
Research Support
Known cases like yours
Cooperación internacional: Misiones quirúrgicas
Medical Links
© 2001-2015 Francisco SoldadoPrivacy PolicyLegal NoticeQuality Policy Website by