Reconstruction of the First and Second Metatarsals with Free Microvascular Fibular Bone Graft after Resection of a Ewing Sarcoma

Microvascular Free Tissue Transfer for Head and Neck Reconstruction in Children

“…5 Despite these concerns, microvascular reconstruction in children and adolescents for extremity reconstruction has been well described in the literature. [6][7][8][9][10][11][12] Harii and Ohmori 13 reported the first cases of microvascular reconstruction in the pediatric population when they transferred free groin flaps to the lower extremities of 2 4-year-old children. Parry et al, 14 Banic and Wulff, 15 Iwaya et al, 16 and Moghari et al 17 have reported on large cohorts with the use of microvascular free flaps for extremity reconstruction in the children with a high success rate.…”

Reconstruction of Traumatic Composite Tissue Defect of Medial Longitudinal Arch With Free Osteocutaneous Fibular Graft

“…Still further, without operative restoration of the blood flow to and from the bone graft, it would be exceedingly unlikely that a bone graft with a length >3 to 4 cm would ever entirely incorporate in a timely fashion in the foot. Few reports have been published of free, vascularized bone grafts used to replace metatarsal defects (5)(6)(7)(8). The use of an accompanying soft tissue transplant consisting of the soleus muscle and/or a skin paddle as a composite tissue transfer has also been previously described (9).…”

Tumours in the foot

“…In the long bones, diaphyseal removal can be reconstructed with an allograft, but this reconstruction has the disadvantage of a high number of graft stress fractures [46]. Sometimes, a vascularized fibula can be used with good functional results [47]. A better functional result is obtained with resection of the ray.…”