Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Aim: The aim of this study was to assess outcomes of biological (nonvascularized fibula grafts and extracorporeal irradiated autologous bone grafts) methods used for reconstruction of intercalary defects after resection of femoral diaphyseal tumors.
Materials And Methods: This study included 28 patients who had undergone intercalary resection in femoral diaphyseal tumors between 2011 and 2016. The mean follow-up period was 24 months (range 12-57 months).
Results: The mean union time for diaphyseo-diaphyseal union was 10.5 and 11 months in nonvascularized fibula group and extracorporeal radiotherapy (ECRT) group, respectively. The mean union time for metaphyseo-diaphyseal union was 6.5 months in both nonvascularized fibula and ECRT groups. Six patients had distant metastasis, and one patient had local recurrence. The mean Musculoskeletal Tumor Society score was 28 at the last follow-up. Two patients had surgical site infection in the nonvascularized fibula group. Implant failure was found in one patient of the ECRT group requiring revision surgery. Three patients had nonunion (two from the nonvascularized fibula group and one from the ECRT group).
Conclusion: The present study indicates that the biological reconstruction modalities provide good functional outcomes in diaphyseal tumors of femur. Nonvasularized fibula and ECRT-treated autografts reconstruction provides good results, and union timing is comparable. The outcomes of the current study are promising as compared to the results in the reviewed literature. The reconstruction method depends on the resources available at the oncological center and the conversance with the method of the treating surgeon.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/2309499018822242 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Distal Radius Reconstruction With Non-vascularized Proximal Fibular Autograft After en-Bloc Resection of Giant Cell Tumors: A Retrospective Study.
Cureus
July 2025
Medicine and Surgery, Jawaharlal Nehru Medical College, Aligarh, IND.
Background Giant cell tumors (GCTs) of the distal radius present significant reconstructive challenges following wide resection. Proximal fibular autograft reconstruction has been a biologically compatible solution, particularly valuable in resource-limited settings. This study evaluates clinical and functional outcomes of this technique.
View Article and Find Full Text PDFDiagnostic challenges and therapeutic approaches in pediatric osteosarcoma: A case report.
Int J Surg Case Rep
August 2025
Department of Orthopedic Surgery, Hospital of Gafsa, Gafsa, Tunisia.
Introduction And Importance: Osteosarcoma (OS) is the most common primary malignant bone tumor. Radiological features may resemble benign processes, making diagnosis challenging. Delayed recognition can affect treatment outcomes, as timely intervention is crucial for managing the tumor effectively.
View Article and Find Full Text PDFThe Giant Cell Tumor of 1st Metatarsal in a Young Adult: A Rare Versatile Management with Fibula Cortical Graft.
J Orthop Case Rep
May 2025
Department of Orthopedics, Chamarajanagar Institute of Medical Sciences, Chamarajanagar, Karnataka, India.
Introduction: Giant cell tumor is a benign aggressive tumor commonly affecting the 2nd decade. Most commonly seen in the ends of long bones like the distal femur, proximal tibia, distal radius, and proximal humerus, but it does occur in small bones like hands and feet in <2%.
Case Report: A young female adult of age 23 has been diagnosed with a giant cell tumor of her 1st metatarsal and underwent complete excision with reconstruction with non-vascularized autogenous cortical fibula strut graft using a reconstruction plate and screws and 1-year follow-up showed a good graft union and no signs of recurrence.
Mother to Child Non-Vascularized Fibula Transfer in Congenital Pseudoarthrosis of Tibia.
J Orthop Case Rep
March 2025
Department of Orthopaedics, ESIC Medical College Hospital, Hyderabad, Telangana- 500038, India.
Introduction: Congenital pseudoarthrosis tibia (CPT) is a relatively rare disease, characterized by anterolateral bowing of the tibia, non-union, and limb length discrepancy. Various surgical treatments have been described in literature for its management with differing favorable outcomes.
Case Report: In this report, we present a case of 3-year-old child with CPT of Crawford type IV, with associated fibular dysplasia.
Long-term Outcomes of Biological Reconstruction for Primary Bone Sarcoma of the Humerus.
Cancer Diagn Progn
March 2025
The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, U.K.
Background/aim: Options for the reconstruction of bone defects following resection of primary bone sarcomas of the humerus include massive endoprostheses or biological reconstruction. We report the oncological, clinical, and functional outcomes in patients treated with biological reconstructions.
Patients And Methods: This study included 23 consecutive patients with primary bone sarcoma of humerus who underwent resection and biological reconstructions at a single institution.