|
KMID : 0361620080430060813
|
|
Journal of the Korean Orthopaedic Association
2008 Volume.43 No. 6 p.813 ~ p.817
|
|
|
Reconstructive Arthrodesis using a Non-living Fibular Graft with an Attached Periosteal Sleeve for Osteosarcoma of the Distal Tibia - A Case Report -
|
|
Park Jong-Woong
Park Jong-Hoon
Lee Soon-Hyuck
Jeong Woong-Kyo
Park Si-Young
|
|
|
Abstract
|
|
|
|
According to previous reports, ankle arthrodesis is regarded as the best reconstructive procedure after limb salvage surgery for osteosarcoma of the distal tibia. Of the many arthrodesis options, vascularized fibular graft (VFG) is widely accepted as the most successful method. However, reconstruction using VFG is not always possible, because VFG is a complicated surgical procedure and is associated with high rates of morbidity at donor sites. The authors devised a novel reconstructive surgical procedure that exploits the osteogenic potential of the periosteum. A 10-year-old female patient with osteosarcoma of the distal tibia underwent limb salvage surgery and the ipsilateral distal fibula and periosteal sleeve were transported to the defect for ankle arthrodesis. The transported fibula and periosteal new bone formation acted as a dual strut bone graft providing better stronger stability than fibula alone transfer. The authors believe the proposed procedure is an easier alternative to the surgically demanding VFG method.
|
|
|
KEYWORD
|
|
|
Distal tibia, Osteosarcoma, Arthrodesis, Vascularized fibular graft (VFG)
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|