[Femur reconstruction using combined autologous fibula transfer and humeral allograft]

Chirurg. 2011 Dec;82(12):1120-3. doi: 10.1007/s00104-011-2165-x.
[Article in German]

Abstract

Wide resection far into the femoral metaphysis may be required to treat malignant bone tumors in the pediatric and adolescent patient population. Biological reconstruction using a free, vascularized fibular graft is a well-established surgical technique. A short remaining femoral medullary canal and a relatively small fibula diameter can make fixation of the vascularized bone transfer difficult. Stable fixation and short fusion times, however, can be achieved with the use of an additional humeral allograft and plate osteosynthesis.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biomarkers, Tumor / analysis
  • Bone Plates
  • Bone Transplantation / methods*
  • Child
  • Child, Preschool
  • Combined Modality Therapy
  • Diaphyses / pathology
  • Diaphyses / surgery
  • Female
  • Femoral Neoplasms / diagnosis
  • Femoral Neoplasms / drug therapy
  • Femoral Neoplasms / pathology
  • Femoral Neoplasms / surgery*
  • Follow-Up Studies
  • Humans
  • Magnetic Resonance Imaging
  • Microsurgery / methods*
  • Neoadjuvant Therapy
  • Neoplasm Grading
  • Neoplasm Staging
  • Sarcoma, Ewing / diagnosis
  • Sarcoma, Ewing / drug therapy
  • Sarcoma, Ewing / pathology
  • Sarcoma, Ewing / surgery*
  • Surgical Flaps

Substances

  • Biomarkers, Tumor