Skip to main content
Figure 2 | Journal of Medical Case Reports

Figure 2

From: A free vascularized tibia-fibular composite graft for the traumatic femoral bony defect of a 6-year-old boy with 10-year follow up: a case report

Figure 2

Radiograph of treatment progression. A: Radiograph at 4 months after the initial operation showed delayed callus formation (arrow) and pin tract infection at the distal femur. There appears to be bony union proximally between the graft and the proximal femur. Some longitudinal growth of the transferred tibia was also noted. At that time, a change was made from Hoffmann’s external skeletal fixation to an internal compression plate supplemented by an autogenous iliac bone graft. B: Radiograph at 12 months after the initial operation revealed complete incorporation of the vascularized tibia-fibular bone grafts and 25 degrees varus angulations in the femur. The deformity was noted 10 months after the initial operation, probably due to screw loosening. C and D: Plain radiographs obtained 10 years after surgery. Note atrophy of the unloaded fibular graft and remodeling of the tibial graft.

Back to article page