We resected the proximal femur in a 4-year-old child who had Ewing's sarcoma. We reconstructed her hip by an autotransplant of the ipsilateral proximal fibula with its vascular supply, inserted inside a massive bone allograft, and fixed to the residual femur by a plate. Serial postoperative imaging showed the progressive hypertrophy of the transplanted fibula, whose head displayed impressive tridimensional growth inside the acetabulum. 4 years after surgery, hip motility is 100º in flexion, 10º in extension, and 30º in abduction, and the patient's limb is weight bearing.
Bibliografia:
Manfrini M, Innocenti M, Ceruso M, Mercuri M, Original biological recostruction of the hip in a 4-year-old girl, Lancet 2003; 361: 140-42
Amazing job!!! I'm an Md but here in US had to begin from 0 and now I'm studying to get my massage therapist licensure, I was looking for a video of hip motion and found this. Congratulations, the best part is looking at that little girl walking. Thank u for uploading this video...
maylincitafull 1 year ago