Surgical management of 121 benign proximal fibula tumors.

Clinical Orthopaedics and Related Research
Matthew P AbdelFranklin H Sim

Abstract

Tumors of the fibula comprise only 2.5% of primary bone lesions. Patients with aggressive benign tumors in the proximal fibula may require en bloc resection. Peroneal nerve function, knee stability, and recurrence are substantial concerns with these resections. The incidence and fate of these complications is not well-known owing to the small numbers of patients in previous reports. We therefore analyzed the incidence of peroneal nerve palsy, knee stability, and local recurrence following surgical treatment of benign proximal fibula tumors. We retrospectively reviewed the charts of 120 patients (121 tumors) with histologically confirmed aggressive benign tumors of the proximal fibula. There were 56 males and 64 females with an average age of 24 years (range, 2-64 years). The most common diagnosis was osteochondroma (38%) followed by giant cell tumor (19%). Pain (94%), palpable mass (39%), and peroneal nerve symptoms (12%) were the most common presenting symptoms. Of the 121 tumors, 56 (46%) underwent en bloc resection. The minimum followup was 2 years (mean, 9 years; range 2 to 49 years; median, 7.4 years). Postoperative complications included nine peroneal nerve palsies (six transient, three permanent), one deep venous thrombo...Continue Reading

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Citations

Jan 11, 2014·Journal of Neurosurgery·Selçuk GöçmenOsman Rodop
Mar 21, 2018·The Journal of International Medical Research·Changzhi GuoTao Sun
Aug 16, 2014·Microsurgery·Oded Ben AmotzDouglas M Sammer
Aug 7, 2018·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Barry Glenn HansfordGregory Scott Stacy
Sep 11, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Mohamed F Mostafa
Jan 8, 2014·Experimental and Therapeutic Medicine·Shi-Chang ZhaoChun-Lin Zhang
Sep 25, 2019·Journal of Surgical Case Reports·Akio SakamotoShuichi Matsuda
Oct 2, 2020·Journal of Pediatric Orthopedics·Craig M BirchDaniel J Sucato
Jan 1, 2021·The Bone & Joint Journal·David Louis PerrinJay S Wunder
Dec 29, 2020·International Journal of Surgery Case Reports·B BoanimbekH Saidi
Jan 23, 2021·Skeletal Radiology·Imran KhanAsif Saifuddin
Sep 14, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Kyle HuntleyJuan Pretell-Mazzini

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