Case Report: Histologic Study of a Human Epiphyseal Transplant at 3 Years after Implantation

J. Sales de Gauzy MD, F. Accadbled MD, PhD, A. Gomez Brouchet MD, A. Abid MD
Case Report
Volume 467, Issue 7 / July , 2009

Abstract

A 5-year-old boy underwent surgical excision of a Ewing’s sarcoma of the proximal femur. Reconstruction was performed using an ipsilateral vascularized epiphyseal transplant and a femoral allograft. Local recurrence of the tumor necessitated hip disarticulation 3 years after the initial procedure. We then performed a histologic analysis of the transplant. The growth plate was still normal in structure but had richly vascularized hyperplastic layers. We observed bridging between the articular cartilage and the growth plate.