Clinical Study

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

Table 1

Demographics.

PatientAgeSexDiagnosisResected limbDefect length (cm)ChemotherapyPrimary fixation type1° or 2° reconstructionMets Flap type Followup (mo)

117FemaleGCTDistal radius7NoPlate and screwsPrimaryNoOC44
213MaleEwing sarcomaDistal ulna14YesPlate and screwsPrimaryNoOC24
36MaleOsteosarcomaHumerus8.3YesScrewsPrimaryNoOsseus148
412MaleOsteosarcoma telangiectasiaDistal radius9YesPlate and screws, wrist fusionUnknNoOsseus81
57MaleMyxoid chondrosarcomaHumerus12UnknownExternal fixatureSecondaryNoOC131
613FemaleGCTDistal humerus8.5NoPlate and screws, K-wire, elbow fusionPrimaryNoOsseus36
712MaleOsteosarcomaHumerus20YesK-wirePrimaryNoOsseus24
84MaleOsteosarcomaHumerus11Yes1 screwSecondaryNoOsseus23
911MaleOsteosarcomaHumerus/shoulder15YesPlate and screwsPrimaryNoOsseus16
106FemaleOsteosarcomaHumerus15Yes1 screwPrimaryYesOsseus14.5
1110MaleOsteosarcoma Proximal humerus15YesPlate and screwsPrimaryYesOC84

OC: Osteocutaneous, GCT: Giant cell tumor.