{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T03:24:08Z","timestamp":1782789848614,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,1,25]],"date-time":"2017-01-25T00:00:00Z","timestamp":1485302400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Overgrowth of the stump skeleton is a major complication seen in children after an amputation. In advanced cases, perforation of the bone spike through the skin can occur. Many surgical treatments have been employed to treat and prevent this, with best results seen when non\u2010vascularised osteo\u2010chondral bone grafts are placed to try to mimic a trans\u2010articular amputation. We reviewed our outcomes using vascularized bone flaps to prevent and treat spiking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>Between 2000 and 2016 we carried out six vascularised osteo\u2010cartilaginous bone capping procedures. Five patients underwent the procedure as an adjunct to primary amputation and in a single patient it was used to treat established bone spiking. Trauma accounted for three cases, with the other three being tumour, vascular malformation and ischemia. Three patients had pedicled bone flaps placed on the amputation stump and three underwent free tissue transfer (free calcaneus, free scapular angle, and free proximal tibia). Five cases involved lower limb amputations, with one in the upper limb.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One patient had an early post\u2010operative complication in the form of partial skin flap necrosis that required debridement and skin grafting. All bone flaps survived. Mean follow\u2010up was 6.5 years. All patients had bony union with no development of stump spiking. Two patients required further procedures unrelated to the bone flaps.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Vascularised bone flaps to cap amputation stumps may be a safe and effective method of preventing and treating long\u2010bone stump spiking following amputation in children<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30160","type":"journal-article","created":{"date-parts":[[2017,1,25]],"date-time":"2017-01-25T14:07:12Z","timestamp":1485353232000},"page":"589-595","source":"Crossref","is-referenced-by-count":8,"title":["The use of vascularised bone capping to prevent and treat amputation stump spiking in the paediatric population"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5971-7012","authenticated-orcid":false,"given":"Adrian D","family":"Murphy","sequence":"first","affiliation":[{"name":"Department of Plastic &amp; Maxillofacial Surgery Royal Children's Hospital  Victoria 3052 Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara E","family":"Atkins","sequence":"additional","affiliation":[{"name":"Department of Plastic &amp; Reconstructive Surgery John Radcliffe Hospital Oxford United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damon J","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Plastic &amp; Maxillofacial Surgery Royal Children's Hospital  Victoria 3052 Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"McCombe","sequence":"additional","affiliation":[{"name":"Department of Plastic &amp; Maxillofacial Surgery Royal Children's Hospital  Victoria 3052 Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris J","family":"Coombs","sequence":"additional","affiliation":[{"name":"Department of Plastic &amp; Maxillofacial Surgery Royal Children's Hospital  Victoria 3052 Melbourne Australia"},{"name":"Department of Paediatrics University of Melbourne Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198601000-00014"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196345080-00022"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195335030-00012"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-799X-9-21"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199211000-00009"},{"key":"e_1_2_8_7_1","first-page":"203","article-title":"The autologous stump plasty. 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Eine vorlaue mitteilung","volume":"114","author":"Marquardt E.","year":"1976","journal-title":"Zeitschr Orthop"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00265835"},{"key":"e_1_2_8_15_1","first-page":"1","article-title":"The use of porous, high\u2010density polyethylene caps in the prevention of appositional bone growth in the juvenile amputee: A preliminary report","volume":"14","author":"Meyer L. C.","year":"1975","journal-title":"Inter\u2010Clinic Information Bulletin"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199601000-00016"},{"key":"e_1_2_8_17_1","doi-asserted-by":"crossref","first-page":"96","DOI":"10.3109\/03093649109164641","article-title":"The stump capping procedure to prevent or treat terminal osseous overgrowth","volume":"15","author":"Pfeil J.","year":"1991","journal-title":"Prosthetics and Orthotics International"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(88)90175-1"},{"key":"e_1_2_8_19_1","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1097\/00003086-198109000-00039","article-title":"The pathogenesis of amputation stump overgrowth","volume":"159","author":"Speer D. P.","year":"1981","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"e_1_2_8_20_1","first-page":"9","article-title":"Bone overgrowth in the juvenile amputee and its control by the use of silicone rubber implants","volume":"8","author":"Swanson A. B.","year":"1969","journal-title":"Inter\u2010Clinic Information Bulletin"},{"key":"e_1_2_8_21_1","first-page":"5","article-title":"Silicone\u2010rubber implants to control the overgrowth phenomenon in the juvenile amputee","volume":"11","author":"Swanson A. B.","year":"1972","journal-title":"Inter\u2010Clinic Information Bulletin"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(88)90001-X"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200403000-00016"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198703000-00045"},{"key":"e_1_2_8_25_1","first-page":"326","article-title":"Comparison of early results of vascularized and non\u2010vascularized fibular grafting in the treatment of osteonecrosis of the femoral head","volume":"45","author":"Tetik C.","year":"2011","journal-title":"Acta Orthopaedica et Traumatologica Turcica"},{"key":"e_1_2_8_26_1","first-page":"442","article-title":"Epiphysiodesis combined with amputation","volume":"21","author":"VomSaal F.","year":"1939","journal-title":"The Journal of Bone & Joint Surgery"},{"key":"e_1_2_8_27_1","first-page":"285","article-title":"Epiphyseal transplant in amputations. Effects on overgrowth in a rabbit model","volume":"130","author":"Wang G. J.","year":"1978","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"e_1_2_8_28_1","first-page":"47","article-title":"Neurovascular calcaneo\u2010cutaneus pedicle graft for stump capping in congenital pseudarthrosis of the tibia: Preliminary report of a new technique","volume":"11","author":"Weber M.","year":"2002","journal-title":"Journal of Pediatric Orthopaedics B"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.30160","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30160","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:04:01Z","timestamp":1695571441000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30160"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,25]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.1002\/micr.30160"],"URL":"https:\/\/doi.org\/10.1002\/micr.30160","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,25]]}}}