Soldado F.,Pediatric Hand Surgery and Microsurgery |
Soldado F.,Institute Of Recerca Vhir |
Barrera-Ochoa S.,Institute Of Recerca Vhir |
Fontecha C.G.,Institute Of Recerca Vhir |
And 4 more authors.
Microsurgery | Year: 2013
Several microsurgical techniques have been described for the treatment of osteonecrosis of the talus (ONT). Recently reported in children, vascularized periosteal grafts showed promising revascularizing properties. We report a novel technique using a pedicled periosteal graft from the first metatarsal bone to treat steroid-induced early Ficat-Arlet stage III ONT in an 11-year-old boy. The patient presented initial favorable clinical and radiological results which were maintained at 34 months during the last follow-up. Through this original technique, and basing on the powerful osteogenic and vasculogenic propreties of periosteal flaps, we could effectively induce bone revascularization and prevent further collapse of the talar dome. © 2012 Wiley Periodicals, Inc.