This Article Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal My Folders Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Mayr, J. M. Articles by Linhart, W. E. Search for Related Content PubMed PubMed Citation Articles by Mayr, J. M. Articles by Linhart, W. E.

Reconstruction of part of the distal tibial growth plate with an autologous graft from the iliac crest

¹ Department of Paediatric Surgery
² Department of Plastic Surgery, University of Basel, Basel, Switzerland.
³ Department of Paediatric Orthopaedics, Karl-Franzens-University of Graz, Auenbruggerplatz 34, A-8036 Graz, Austria.

Correspondence should be sent to Dr J. M. Mayr.

We describe the reconstruction of a defect of the medial malleolus which was the result of an accident in a ten-year-old child. A graft from the iliac crest, with the apophyseal cartilage and perichondrium, was used for reconstruction of the medial malleolus, the growth plate and the adjacent metaphyseal defect, respectively. The soft-tissue defect was covered with a free scapular flap with microvascular anastomosis. Three years after the injury stability of the ankle is excellent with adequate growth of the reconstructed epiphyseal plate.