Free Vascularized Fibula Salvage of Failed CPH in Pediatric Sarcoma Patients

Figure 1

(a) 3 months after primary limb reconstruction with clavicula pro humero (CPH) procedure. (b) Nonunion at 9 months after original CPH procedure. (c) Subsequent fracture at 19 months after original CPH. (d) Secondary salvage procedure 24 months after CPH with onlay free vascularized fibular flap. (e) Union and remodeling of fibular flap 63 months after original CPH procedure.