Related Experiment Video
Updated: May 9, 2026
Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
Published on: June 13, 2025
Vascularized fibula-based physis transfer for pediatric proximal humerus reconstruction
Detlev Erdmann1, Ryan M Garcia, Gert Blueschke
1Durham, N.C.; and Philadelphia, Pa. From the Division of Plastic, Reconstructive, Maxillofacial and Oral Surgery, Department of Surgery, and the Department of Orthopaedics, Duke University Medical Center; and the Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania.
Unlabelled:
Free vascularized fibular transfer has become a standard procedure in upper extremity reconstruction after resection of osteogenic tumors. The authors present two rare pediatric cases of high-grade osteosarcoma resection of the proximal humerus. A free vascularized fibula autograft including the physis based on the anterior tibial artery and vein was used for reconstruction in a delayed (case 1) and immediate (case 2) approach. The main focus of the article is to describe the surgical technique, which is also presented in a series of intraoperative videos.
Clinical Question/Level Of Evidence:
Therapeutic, V.
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