{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T16:18:47Z","timestamp":1764433127472,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,11,10]],"date-time":"2017-11-10T00:00:00Z","timestamp":1510272000000},"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":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Nonunion is a common complication of lateral condyle humeral (LCH) fractures in children. <jats:italic>In situ<\/jats:italic> fixation with a screw and bone grafting is the classically\u2010recommended method of treatment. The purpose of this study is to analyze the feasibility of obtaining a vascularized periosteal flap obtained from the lateral humerus and based on the posterior collateral radial vessels (PCRV). Second, to report the results after the application in two pediatric cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Periosteal branches of PCRV were studied in ten upper limbs from fresh human cadavers. Then, two children with LCH nonunion were treated with this flap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The PCRV provided mean of 5.3 anterior periosteal branches (range 4\u20137) with a mean distance between them of 19.1\u00a0mm (range 5\u201329\u00a0mm) and 5.7 posterior periosteal branches (range 3\u20137) with a mean distance between them of 15.9\u00a0mm (range 6\u201333\u00a0mm. PCRV distally anastomosed to the interosseous recurrent artery and the radial recurrent artery, creating a vascular net over the lateral condyle and allowing for the design of a reverse vascularized humeral periosteal flap (VHPF). Abundant periosteal callus and rapid consolidation were achieved in both children. No bone fixation or grafting was necessary.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>VHPF might be considered a viable biological surgical option to promote bone healing in LCH nonunions in children, while avoiding the need for bone fixation and the donor morbidity associated with bone grafting.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30261","type":"journal-article","created":{"date-parts":[[2017,11,10]],"date-time":"2017-11-10T13:54:40Z","timestamp":1510322080000},"page":"156-159","source":"Crossref","is-referenced-by-count":18,"title":["Vascularized humeral periosteal flap to treat lateral humeral condyle nonunion: An anatomical study and report of two successfully\u2010treated pediatric cases"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6820-3494","authenticated-orcid":false,"given":"S. Sergi","family":"Barrera\u2010Ochoa","sequence":"first","affiliation":[{"name":"Pediatric Hand Surgery and Microsurgery, Hospital Sant Joan de Deu Universitat de Barcelona  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1759-9868","authenticated-orcid":false,"given":"Francisco","family":"Soldado","sequence":"additional","affiliation":[{"name":"Pediatric Hand Surgery and Microsurgery, Hospital Sant Joan de Deu Universitat de Barcelona  Spain"},{"name":"Hand Surgery and Microsurgery Hospital Vithas San Jose Vitoria Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9181-5613","authenticated-orcid":false,"given":"Alfonso","family":"Rodriguez\u2010Baeza","sequence":"additional","affiliation":[{"name":"Department of Human Anatomy and Embryology, Faculty of Medicine Universitat Aut\u00f2noma de Barcelona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Diaz\u2010Gallardo","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedics, Hospital Sant Joan de Deu Universitat de Barcelona  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Orthopedics Clinical Hospital of Pontificia Universidad Cat\u00f3lica de Chile Santiago Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo S.","family":"Corona","sequence":"additional","affiliation":[{"name":"Septic and Reconstructive Surgery Unit, Department of Orthopaedic Surgery Vall d'Hebron University Hospital, Universitat Aut\u00f2noma de Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Kn\u00f6rr","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedics, Hospital Sant Joan de Deu Universitat de Barcelona  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,10]]},"reference":[{"key":"e_1_2_8_2_1","article-title":"Vascularized ulnar periosteal pedicled flap for forearm reconstruction: Anatomical study and a case report","author":"Barrera\u2010Ochoa S.","year":"2017","journal-title":"Microsurgery,"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22357"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453679508995573"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198911000-00012"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557080-00009"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-2752(1996)17:7<375::AID-MICR6>3.0.CO;2-F"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000077"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200407000-00008"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2011.01.021"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000353"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198901000-00004"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199702000-00011"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30063"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31824b2843"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22342"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0556-1"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.30261","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30261","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T08:01:32Z","timestamp":1694678492000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,10]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1002\/micr.30261"],"URL":"https:\/\/doi.org\/10.1002\/micr.30261","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"type":"print","value":"0738-1085"},{"type":"electronic","value":"1098-2752"}],"subject":[],"published":{"date-parts":[[2017,11,10]]}}}