Simultaneous reconstruction of the bone and vessels for complex femoral defect

Shimpei Miyamoto, Masahide Fujiki, Nokitaka Setsu, Akira Kawai

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Abstract

Background: Several methods have been reported for intercalary reconstruction of femoral defects. Of these, free vascularized fibula grafts (FVFG) are preferred because of their durability, bone-healing potential, and tolerance to infection. If the bone tumor invades the femoral vessels, simultaneous vascular reconstruction also becomes necessary and significant technical hurdles make limb salvage difficult. Case presentation: We present a 10-year-old girl who underwent limb-sparing surgery for a distal femur osteosarcoma. The femoral defect was 15 cm long, and the femoral vessel defect was 10 cm long. The femur was reconstructed with bilateral FVFG, and the femoral vessels were reconstructed with saphenous vein grafts. The grafts survived without vascular compromise, and the affected limb was preserved successfully. Conclusions: Combined use of bilateral FVFG and autologous vein grafts makes limb-sparing surgery for a large osteosarcoma of the femur possible.

Original languageEnglish
Article number291
JournalWorld Journal of Surgical Oncology
Volume14
Issue number1
DOIs
Publication statusPublished - Nov 18 2016
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Oncology

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