Use of free scapular crest flap in pediatric epiphyseal reconstructive procedures

Studies have been underway since 1981 on the scapular anatomic unit as a ne w donor site for reconstructive surgery, Anatomic studies have proven that this diaphyseal bone has a large osteocartilaginous growth epiphysis at its inferior pole, which is responsible for development of 80% of the surface of the scapula. Experimental investigations and clinical studies have revea led minimal functional limitation because of loss of the scapular crest and that its growth plate can be used beneficially for vascularized bone trans fer. Four cases are reported with good results based on 2 to 14 years follo wup without significant impairment of the donor site.