Reconstructive Arthrodesis using a Non-living Fibular Graft with an Attached Periosteal Sleeve for Osteosarcoma of the Distal Tibia: A Case Report.
10.4055/jkoa.2008.43.6.813
- Author:
Jong Woong PARK
1
;
Jong Hoon PARK
;
Soon Hyuck LEE
;
Woong Kyo JEONG
;
Si Young PARK
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Korea University, Seoul, Korea. pjh19642001@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Distal tibia;
Osteosarcoma;
Arthrodesis;
Vascularized fibular graft (VFG)
- MeSH:
Animals;
Ankle;
Arthrodesis;
Child;
Durapatite;
Female;
Fibula;
Humans;
Limb Salvage;
Osteogenesis;
Osteosarcoma;
Periosteum;
Reconstructive Surgical Procedures;
Tibia;
Tissue Donors;
Transplants
- From:The Journal of the Korean Orthopaedic Association
2008;43(6):813-817
- CountryRepublic of Korea
- Language:Korean
-
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.
