Autogenous fibula grafting of a radial defect complicating acute hematogenous osteomyelitis in a child.

The emphasis of this case report is on the management of a radial defect after diaphysectomy complicating acute hematogenous osteomyelitis in a 15-month-old girl. An autogenous fibular graft was used to replace the defect of the radius. It was wedged between the proximal and distal radial fragment and fixed in position by two miniplates. After 6 weeks the fibula had incorporated. The graft fractured, unfortunately, through a drill-hole created for neovascularization, requiring further interventions until complete cure occurred. A re-examination 2 years after grafting revealed a good functional result. Radiographically, the radius was completely remodeled. We consider the autogenous fibular graft to be especially suitable for replacing the radius for the following reasons: it is firm enough for bridging, it has a corresponding caliber, and it can be obtained with adequate length. Within a few weeks the fibular defect refills with new bone formation, provided that the periosteum has been tightly sutured. No interference with ankle growth was observed.