Primary Osteosarcoma of the Distal Fibula treated with with a Five-Year Follow-up: A Case Report
- Author:
Saadon I, Ms Orth, Amit B*, Mrcs (Ireland), Zolquarnian A, Ms Orth, Muhamad F, Mbbs
- Publication Type:Case Report
- Keywords:
distal fibula, osteosarcoma, limb salvage surgery
- From:Malaysian Orthopaedic Journal
2017;11(2):64-67
- CountryMalaysia
- Language:English
-
Abstract:
Musculoskeletal tumours of the lower limbs especially
malignant tumours are not common. The fibula is the site of
primary bone tumours as reported in 2.4% of lower limb
tumours with the proximal third being more frequently
involved than the distal segment. Osteosarcoma is the most
common primary malignant bone tumour of nonhaematopoietic
origin, with distal fibular involvement in
0.47% of patients. The advances in imaging techniques and
neo-adjuvant chemotherapy have now made it possible to
accurately define the extent of tumour and plan limb salvage
with tumour resection. The purpose of this case report is to
highlight the successful outcome of limb salvage procedure
with a five year follow up in an 11-year old boy with distal
fibular osteosarcoma. Limb salvage surgery with distal
fibulectomy and retention of the foot are a good alternative
to radical amputation.
