Free fibula long bone reconstruction in orthopedic oncology: a surgical algorithm for reconstructive options

Plastic and Reconstructive Surgery
Arik ZaretskiEyal Gur

Abstract

The fibula free flap became popular in orthopedic oncology for limb-sparing long bone tumor resection. It is particularly suitable for intercalary or resection arthrodesis options. In the present series, a surgical reconstruction algorithm was used, enabling each patient to receive a personalized technique. During the years 1998 to 2002, 30 patients underwent limb-sparing surgery for long bone sarcoma. There were 18 males and 12 females. Their mean age was 23 years (range, 9 to 70 years). The diagnoses were Ewing's sarcoma (11 patients), osteogenic sarcoma (eight patients), chondrosarcoma (five patients), giant cell tumor of bone (three patients), high-grade soft-tissue sarcoma (two patients), and leiomyosarcoma of bone (one patient). The majority of tumors where located in the lower extremity (23 patients), mostly in the femur (15 patients with four tumors in the proximal femoral shaft, five tumors in the distal femoral shaft, five tumors in the whole femoral shaft, and one tumor in the proximal femoral head). In seven patients, the upper extremity was involved; in six patients, the radius was involved; and in one patient, the humerus was involved. The free fibula flap was used in three types of approaches: vascularized fibula...Continue Reading

References

May 1, 1975·Plastic and Reconstructive Surgery·G I TaylorF J Ham
Aug 1, 1988·Plastic and Reconstructive Surgery·B M O'BrienJ J Pribaz
Sep 12, 1998·Journal of Reconstructive Microsurgery·K IharaS Kawai
Aug 24, 2001·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·M CerusoM Manfrini

❮ Previous
Next ❯

Citations

Jul 21, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·P-U TunnH Delbrück
Feb 3, 2012·International Orthopaedics·Mathew D SewellTimothy W R Briggs
Sep 28, 2007·Archives of Orthopaedic and Trauma Surgery·Dae-Geun JeonSoo-Yong Lee
Apr 4, 2008·Journal of Cancer Research and Clinical Oncology·Rui NiimiAtsumasa Uchida
Oct 6, 2009·Journal of Pediatric Hematology/oncology·Juan Rodriguez MartinAngel Curto de la Mano
Jan 6, 2010·Plastic and Reconstructive Surgery·Darrin M HubertJohn P Dormans
Oct 7, 2010·Indian Journal of Orthopaedics·Ajay PuriS Laskar
Feb 25, 2014·International Orthopaedics·Marko BumbasirevicHenry D E Atkinson
Feb 11, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·M F ScaglioniA Zaretski
Feb 8, 2014·Journal of the American Podiatric Medical Association·Jing Li, Zheng Wang
Aug 2, 2012·Journal of Children's Orthopaedics·Arik ZaretskiShlomo Dadia
Feb 19, 2013·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Yousuf M Khira, Hamed A Badawy
May 17, 2012·Orthopedics·Andreas F MavrogenisPanayiotis J Papagelopoulos
Mar 6, 2012·Orthopedics·Germán L FarfalliD Luis Muscolo
Jan 15, 2008·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·B FuchsF H Sim
Jul 19, 2012·Journal of Surgical Oncology·Andreas F MavrogenisPietro Ruggieri
Jun 26, 2010·Journal of Surgical Oncology·Jing LiZhi-Gang Wu
Feb 11, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·G PadiolleauF Gouin
May 10, 2005·Expert Review of Anticancer Therapy·Mihir M ThackerSean P Scully
Feb 22, 2007·Plastic and Reconstructive Surgery·Constance M ChenPeter G Cordeiro
Feb 15, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Adam S LevinCarol D Morris
Apr 4, 2017·Journal of Pediatric Orthopedics. Part B·Ilaria MorelliCarlo L Romanò
Jun 22, 2011·Clinical Orthopaedics and Related Research·Luis Aponte-TinaoD Luis Muscolo
Dec 17, 2008·Clinical Orthopaedics and Related Research·Aurélien CourvoisierJean-Paul Damsin
Aug 25, 2009·Clinical Orthopaedics and Related Research·William C EwardBrian E Brigman
Jul 29, 2006·Plastic and Reconstructive Surgery·Thomas KremerMichael Sauerbier
Jun 4, 2008·Plastic and Reconstructive Surgery·Jeffrey B FriedrichAlexander Y Shin

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.