Radial Reconstruction With Fibular Free Flap Using CAD-CAM and Virtual Surgical Planning in Pediatric Pseudoarthrosis due to Neurofibromatosis Type 1: A Case Report and Literature Review.

MicrosurgerySep 1, 2026
Case ReportOrthopedic SurgeryPediatricsPlastic SurgeryOpen access

Alicia Dean, Manuel Román Torres, Concepción Centella Gutiérrez et al.

✦ AI-curated · Sources linked

Case in brief

A 7-year-old boy with neurofibromatosis type 1 presented with radial pseudoarthrosis, a challenging condition to repair. The reconstruction utilized a vascularized free fibular flap, patient-specific CAD-CAM guides, and an interactive 3D virtual surgical planning environment. A 3-cm defect was successfully reconstructed, achieving bone union within 7-8 months and restoring full wrist motion without donor site morbidity.

Diagnostic / clinical pearl

The integration of CAD-CAM and virtual surgical planning in pediatric reconstruction can enhance precision and outcomes in complex cases like forearm pseudoarthrosis due to neurofibromatosis type 1.

Source

PubMed · PMID 42658051Free full text on PubMed Central

Published in Microsurgery. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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