Long-term Outcome of Vascularized Fibular Bone Graft Reconstruction for Upper Limb Osteosarcoma: A Case Report
Introduction: Osteosarcoma is a primary malignant bone tumor. In older days, the mainstay treatment was used to be amputation of the affected extremity. But nowadays, limb salvage procedures with biological reconstruction are done due to their better long-term outcomes. Materials and methods: This i...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2024-06-01
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| Series: | Journal of Orthopedics and Joint Surgery |
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| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1157 |
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| author | Revanth Thiruvarul Selvan Gutta Charith Viveksheel Bhatti Gopinath Menon |
| author_facet | Revanth Thiruvarul Selvan Gutta Charith Viveksheel Bhatti Gopinath Menon |
| author_sort | Revanth Thiruvarul Selvan |
| collection | DOAJ |
| description | Introduction: Osteosarcoma is a primary malignant bone tumor. In older days, the mainstay treatment was used to be amputation of the affected extremity. But nowadays, limb salvage procedures with biological reconstruction are done due to their better long-term outcomes.
Materials and methods: This is a case report of a 34-year-old female who underwent left proximal humerus osteosarcoma wide excision and reconstruction with free vascularized fibula graft and chemotherapy 12 years back. During these 12 years, the patient had gradual improvement in her movements in her left upper limb and overall outcome. Her Musculoskeletal Tumor Society (MSTS) score has also improved.
Conclusion: Malignant tumors of a long bone can be treated with a limb salvage procedure by biological reconstruction using a vascularized bone graft instead of amputation or endoprosthesis reconstruction for a better long-term outcome. |
| format | Article |
| id | doaj-art-b6f873d6812c459faff2c979c2697956 |
| institution | Kabale University |
| issn | 2582-7863 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Orthopedics and Joint Surgery |
| spelling | doaj-art-b6f873d6812c459faff2c979c26979562025-02-07T11:18:36ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632024-06-016218118310.5005/jojs-10079-115719Long-term Outcome of Vascularized Fibular Bone Graft Reconstruction for Upper Limb Osteosarcoma: A Case ReportRevanth Thiruvarul Selvan0https://orcid.org/0009-0001-5015-8717Gutta Charith1https://orcid.org/0009-0004-6098-8994Viveksheel Bhatti2https://orcid.org/0009-0000-6858-7897Gopinath Menon3https://orcid.org/0000-0003-1955-6837Revanth Thiruvarul Selvan, Department of Orthopaedics, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India, Phone: +91 7502980231Department of Orthopaedics, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, IndiaDepartment of Orthopaedics, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, IndiaDepartment of Orthopaedics, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, IndiaIntroduction: Osteosarcoma is a primary malignant bone tumor. In older days, the mainstay treatment was used to be amputation of the affected extremity. But nowadays, limb salvage procedures with biological reconstruction are done due to their better long-term outcomes. Materials and methods: This is a case report of a 34-year-old female who underwent left proximal humerus osteosarcoma wide excision and reconstruction with free vascularized fibula graft and chemotherapy 12 years back. During these 12 years, the patient had gradual improvement in her movements in her left upper limb and overall outcome. Her Musculoskeletal Tumor Society (MSTS) score has also improved. Conclusion: Malignant tumors of a long bone can be treated with a limb salvage procedure by biological reconstruction using a vascularized bone graft instead of amputation or endoprosthesis reconstruction for a better long-term outcome.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1157bone graftingcase reportclinical outcomelong-term outcomemalignant tumor limb salvage proceduresurgical outcomevascularized fibular graft |
| spellingShingle | Revanth Thiruvarul Selvan Gutta Charith Viveksheel Bhatti Gopinath Menon Long-term Outcome of Vascularized Fibular Bone Graft Reconstruction for Upper Limb Osteosarcoma: A Case Report Journal of Orthopedics and Joint Surgery bone grafting case report clinical outcome long-term outcome malignant tumor limb salvage procedure surgical outcome vascularized fibular graft |
| title | Long-term Outcome of Vascularized Fibular Bone Graft Reconstruction for Upper Limb Osteosarcoma: A Case Report |
| title_full | Long-term Outcome of Vascularized Fibular Bone Graft Reconstruction for Upper Limb Osteosarcoma: A Case Report |
| title_fullStr | Long-term Outcome of Vascularized Fibular Bone Graft Reconstruction for Upper Limb Osteosarcoma: A Case Report |
| title_full_unstemmed | Long-term Outcome of Vascularized Fibular Bone Graft Reconstruction for Upper Limb Osteosarcoma: A Case Report |
| title_short | Long-term Outcome of Vascularized Fibular Bone Graft Reconstruction for Upper Limb Osteosarcoma: A Case Report |
| title_sort | long term outcome of vascularized fibular bone graft reconstruction for upper limb osteosarcoma a case report |
| topic | bone grafting case report clinical outcome long-term outcome malignant tumor limb salvage procedure surgical outcome vascularized fibular graft |
| url | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1157 |
| work_keys_str_mv | AT revanththiruvarulselvan longtermoutcomeofvascularizedfibularbonegraftreconstructionforupperlimbosteosarcomaacasereport AT guttacharith longtermoutcomeofvascularizedfibularbonegraftreconstructionforupperlimbosteosarcomaacasereport AT viveksheelbhatti longtermoutcomeofvascularizedfibularbonegraftreconstructionforupperlimbosteosarcomaacasereport AT gopinathmenon longtermoutcomeofvascularizedfibularbonegraftreconstructionforupperlimbosteosarcomaacasereport |