Abstract
Chronic osteomyelitis in children is frequent in the developing countries. Their complications and morbidity burden the functional prognosis. The reconstruction of diaphyseal bone loss after sequestrectomy in young children remains a difficult and expensive challenge in our context. The delay in care and the lack of social security for all, are risk factors for morbidity. The induced membrane technique described by Masquelet starts to be applied and showed satisfactory results. We report the results of a case of reconstruction of the proximal humerus by using a non-vascularized fibula and supplemental bone substitute in a boy of 2 years with sickle cell. No scarring occurred at the sampling site. The process of bone consolidation is underway.
Highlights
Chronic osteomyelitis in children is frequent in the developing countries [1]
We report the results of a case of reconstruction of the proximal humerus by using a non-vascularized fibula and supplemental bone substitute in a boy of 2 years with sickle cell
We report a preliminary result in 2-year-old boy of a case of reconstruction of proximal humerus by using a non-vascularized fibula with additional bone substitute
Summary
Chronic osteomyelitis in children is frequent in the developing countries [1]. The etiologies are varied; their complications and morbidity compromised the functional prognosis. Reconstruction of bone loss after sequestration, using non-vascularized fibula graft remains a challenging problem to treat. This technique was used by several authors in surgery of diverse reconstruction [2] [3]. The use of the induced membrane technique described by Masquelet [5] allows the reconstruction in two steps of the losses of bone substances with good results. The cement spacer was removed during the second step procedure after antibiotherapy and fibular graft. We report a preliminary result in 2-year-old boy of a case of reconstruction of proximal humerus by using a non-vascularized fibula with additional bone substitute
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