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Lengthening and deformity correction in vascularized fibular autograft for a patient with Ewing sarcoma
- Source :
- Journal of Orthopaedic Surgery, Vol 29 (2021)
- Publication Year :
- 2021
- Publisher :
- SAGE Publishing, 2021.
-
Abstract
- We report the case of a pediatric patient with Ewing’s sarcoma of the tibia treated with vascularized fibular autograft where the resulting limb deformity and leg length discrepancy (LLD) were corrected using Ilizarov external fixator. A 14-year-old girl presented to our outpatient clinic with a deformity of the right proximal and distal tibia and an 11.7 cm of LLD after tumor reconstruction surgery. Deformity correction and limb lengthening were simultaneously performed using double corticotomy on the right proximal and distal tibia. One year postoperatively, the union of the right proximal tibia had progressed, but nonunion was observed at the right distal corticotomy site. To address this, osteosynthesis with tricortical iliac bone allograft was performed after the removal of the Ilizarov external fixator. After 6 months, the union of the distal tibia was confirmed, and the varus deformity of proximal and distal tibia improved. The LLD was also decreased, but the left lower limb was still longer by 3 cm. This report shows that vascularized fibular autografts can potentially be used for the gradual correction of LLD and deformities. However, for the treatment of multiple deformities in bones previously reconstructed with vascularized fibular graft, the possibility of impaired bone forming potential of the fibular graft should be considered.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Nonunion
Sarcoma, Ewing
Bone Lengthening
Deformity
medicine
Humans
Outpatient clinic
Tibia
Autografts
Child
Varus deformity
Orthopedic surgery
Osteosynthesis
business.industry
medicine.disease
musculoskeletal system
Surgery
Treatment Outcome
surgical procedures, operative
Fibula
Distraction osteogenesis
Female
medicine.symptom
business
RD701-811
Corticotomy
Subjects
Details
- Language :
- English
- ISSN :
- 23094990
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Journal of Orthopaedic Surgery
- Accession number :
- edsair.doi.dedup.....c9f87b25daa6ec6c9cc72cb37b445012