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Seu et al.                                                                                                                                                          Femoral head reconstruction in pediatric patient

           epiphyseal vascular supply [15] .                  Patient consent
                                                              The patient’s guardian provided us with consent to
           From this case report, we learned that single staged   publish this case report.
           joint reconstruction is an option in joint reconstruction
           given comprehensive coordination between plastic   Ethics approval
           surgery and orthopedic surgery teams. Though this is   Obtaining ethical clearance was not necessary for the
           a rare case, it is a justifiable option in reconstruction   publication of this case report.
           of other joints, such as the shoulder and knee,
           where structure and function must be maintained.   REFERENCES
           Discussion of the patient and their family’s goals, such
           as preservation of the weight bearing nature growth
           potential of the limb, is crucial to patient selection. This   1.   Reed DR, Hayashi M, Wagner L, Binitie O, Steppan DA, Brohl AS,
                                                                 Shinohara  ET,  Bridge  JA,  Loeb  DM,  Borinstein  SC,  Isakoff  MS.
           is a long and technically complex procedure, and the   Treatment  pathway  of  bone  sarcoma  in  children,  adolescents,  and
           ideal patient for this reconstruction is an otherwise   young adults. Cancer 2017;123:2206-18.
           healthy child with an extensive support network at   2.   Weber KL. What’s new in musculoskeletal oncology. J Bone Joint
           a tertiary care center where collaboration between    Surg Am 2005;87:1400-10.
           departments is possible.                           3.   Starc MT, Rosenblum MK, Meyers PA, Hatzoglou V. Rare presentation
                                                                 of Ewing sarcoma metastasis to the sella and suprasellar cistern. Clin
                                                                 Imaging 2016;41:73-7.
           In conclusion, this case report demonstrates the use   4.   Yasko AW. Surgical management of primary bone sarcomas. Hematol
           of a vascularized fibula autograft within an acellular   Oncol Clin North Am 1995;9:719-31.
           cadaveric allograft shell for complex reconstruction   5.   Houdek MT, Wagner ER, Stans AA, Shin AY, Bishop AT, Sim FH,
           of the proximal femur and hip joint. The vascularized   Moran SL. What is the outcome of allograft and intramedullary free
           fibula autograft included the epiphyseal plate, allowing   fibula (Capanna technique) in pediatric and adolescent patients with
           the reconstruction to grow with the patient. The   6.   bone tumors? Clin Orthop Relat Res 2016;474:660-8.
                                                                 Capanna RB, Campanacci M. A new technique for reconstructions of
           cadaveric allograft shell serves as a biologic scaffold   large metadiaphiseal bone defects. Orthop Traumatol 1993;3:159-77.
           to allow the patient’s vascularized free fibula with the   7.   Dolen UC, Moran SL. Long term functional outcomes of the Capanna
           fibular head to grow and expand into the construct    technique for pediatric limb salvage. Plast Reconstr Surg 2012;130:90-1.
           through osteoconduction, providing increased stability   8.   Ogura M, Miyamoto S, Sakuraba M, Fujiwara T, Chuman H, Kawai
           to the reconstruction. This construct provides the    A. Intercalary reconstruction after wide resection of malignant bone
           potential for continued growth and weight bearing     tumors of the lower extremity using a composite graft with a devitalized
                                                                 autograft and a vascularized fibula. Sarcoma 2015;2015:861575.
           of the lower extremity. Patients requiring complex   9.   Muramatsu K, Ihara K, Tani Y, Iwanaga R, Taguchi T. Reconstruction
           skeletal reconstructions should be treated at tertiary   of periacetabular bone tumor by vascularized fibula graft and irradiated
           care centers where a multi-disciplinary team of       autograft. Anticancer Res 2009;29:1669-73.
           orthopedic, oncologic, and reconstructive surgeons   10.  Berrey  BH  Jr,  Lord  CF,  Gebhardt  MC,  Mankin  HJ.  Fractures  of
           can be utilized.                                      allografts. Frequency, treatment, and end-results. J Bone Joint Surg
                                                                 Am 1990;72:825-33.
                                                              11.  Capanna R, Campanacci DA, Belot N, Beltrami G, Manfrini M,
           DECLARATIONS                                          Innocenti M, Ceruso M. A new reconstructive technique for intercalary
                                                                 defects  of  long  bones:  the  association  of  massive  allograft  with
                                                                 vascularized fibular autograft. Long-term results and comparison with
           Authors’ contributions                                alternative techniques. Orthop Clin North Am 2007;38:51-60.
           Concept and design: C.D. Morris, J.M. Sacks        12.  Moran SL, Shin AY, Bishop AT. The use of massive bone allograft
           Definition of intellectual content: B.H. Cho, A.      with intramedullary free fibular flap for limb salvage in a pediatric and
           Hassanein, A.L. Wong, C.D. Morris, J.M. Sacks         adolescent population. Plast Reconstr Surg 2006;118:413-9.
           Manuscript preparation, data acquisition, literature   13.  Hariri A, Mascard E, Atlan F, Germain MA, Heming N, Dubousset JF,
           search: M.Y. Seu, A. Haley                            Wicart P. Free vascularised fibular graft for reconstruction of defects
           Manuscript editing: B.H. Cho, H.M. Carl, T.J. Bos, A.L.   of  the  lower  limb  after  resection  of  tumour.  J Bone Joint Surg Br
                                                                 2010;92:1574-9.
           Wong                                               14.  Manfrini M, Innocenti M, Ceruso M, Mercuri M. Original biological
           Manuscript review: A. Hassanein, C.D. Morris, J.M.    reconstruction of the hip in a 4-year-old girl. Lancet 2003;361:140-2.
           Sacks                                              15.  Innocenti  M,  Delcroix  L,  Manfrini  M,  Ceruso  M,  Capanna
                                                                 R.Vascularized  proximal  fibular  epiphyseal  transfer  for  distal  radial
           Financial support and sponsorship                     reconstruction: surgical technique. J Bone Joint Surg Am 2005;87:237-
           None.                                                 46.
                                                              16.  Martin AL, Bissell BM, Al-Dhamin A, Morris SF. Computed
                                                                 tomographic angiography for localization of the cutaneous perforators
           Conflicts of interest                                 of the leg. Plast Reconstr Surg 2013;131:792-800.
           There are no conflicts of interest.                17.  Wafa H, Grimer R. Surgical options and outcomes in bone sarcoma.

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