The Vascularized Fibular Graft in the Pediatric Upper Extremity: A Durable, Biological Solution to Large Oncologic Defects

Figure 1

Operative pictures and nonoperative treatment of graft fracture. (a) Preoperative radiograph of osteosarcoma involving proximal humerus. (b) Intraoperative picture of resected tumor bed. (c) Resected tumor and proximal humerus. (d) Intraoperative planning of fibular resection. (e) Intraoperative reconstruction of proximal humerus with proximal fibula including growth plate. (f) AP radiograph immediately after operation. (g) Healed fracture through fibular graft with nonoperative treatment.

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