Modern Pediatrics. Ukraine. (2021). 8(120): 70-73. doi 10.15574/SP.2021.120.70
Fidelskyi V. V., Kobys V. L., Bovkun V. M., Bezverkhyi S. M., Mishchenko O. M.
National Children's Specialized Hospital MOZ of Ukraine «OHMATDYT», Kyiv

For citation: Fidelskyi VV, Kobys VL, Bovkun VM, Bezverkhyi SM, Mishchenko OM. (2021). Transplantation of vascularized epiphyseal graft of the proximal tibia in a child diagnosed with Ewing's sarcoma. Modern Pediatrics. Ukraine. 8(120): 70-73. doi 10.15574/SP.2021.120.70.
Article received: Oct 04, 2021. Accepted for publication: Dec 07, 2021.

Bone reconstruction after complete surgical resection of a tumor in children with a growing skeleton is a surgical problem. A special problem of periarticular reconstruction of the proximal femur and acetabulum is a special structure and function that provides movement and resistance, so transplantation of only vascularized autograft of the tibia is not enough. The use of free bone revascularized autografts makes it possible to replace significant defects of tubular bones.
Clinical case. The case of transplantation of vascularized epiphyseal graft of the proximal tibia in a child diagnosed with Ewing's sarcoma of the proximal femur, after tumor resection in the Department of Reconstructive and Plastic Microsurgery National Children's Specialized Hospital MOZ of Ukraine «OHMATDYT».
Conclusions. Transplantation of a vascularized epiphyseal graft of the proximal tibia with preserved articular surface after removal of the tumor together with the affected fragment of the femur, restores joint mobility and, most importantly, growth potential, which is undeniable in children. The treatment tactics proved to be effective and saved the child's life.
The research was carried out in accordance with the principles of the Helsinki declaration. The informed consent of the patient was obtained for conducting the studies.
No conflict of interest was declared by the authors.
Key words: vascularized epiphyseal graft transplantation, children, clinical case.

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