Case ReportsLengthening After Nonvascularized Fibula Grafting for Large Postinfective Bone Defect A Case Report with Long Follow-upPinto, Deepika MS (Orthopaedics), DNB (Orthopaedics); Mehta, Rujuta MS (Orthopaedics), DNB (Orthopaedics); Agashe, Mandar MS (Orthopaedics), DNB (Orthopaedics) Author Information 1Department of Pediatric Orthopaedics, Bai Jerbai Wadia Hospital for Children, Mumbai, India aE-mail address for R. Mehta: [email protected] Investigation performed at Bai Jerbai Wadia Hospital for Children, Mumbai, India Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/B444). JBJS Case Connector 11(2):e20.00749, April-June 2021. | DOI: 10.2106/JBJS.CC.20.00749 Buy Metrics Abstract Case: We describe a case of lengthening of the tibial regenerate after nonvascularized fibula grafting, for postinfective tibial gap nonunion in a child. A large tibial defect secondary to osteomyelitis in a 10-month-old boy was reconstructed using a 5-cm fibula autograft. Concomitant distal tibial physeal arrest led to progressive shortening. Distraction osteogenesis was performed, through the grafted segment, on 2 occasions—at the ages of 3.5 and 8 years—to achieve total lengthening of 9 cm and good functional recovery at 11.5 years of age. Conclusion: The tibial regenerate after nonvascularized fibula grafting in children has good potential for distraction osteogenesis. Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated
