Simultaneous reconstruction of the bone and vessels for complex femoral defect

World Journal of Surgical Oncology

Case Report

Akira Kawai¹  Nokitaka Setsu¹  Masahide Fujiki²  Shimpei Miyamoto² 

[1] Division of Orthopedic Surgery, National Cancer Center Hospital, 5-1-1, Tsukiji, 1040045, Chuo-ku, Tokyo, Japan;Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, 5-1-1, Tsukiji, 1040045, Chuo-ku, Tokyo, Japan;

关键词: Popliteal artery;    Revascularization;    Flow-through;    Lateral circumflex femoral;    Bypass flap;   

DOI  :  10.1186/s12957-016-1037-8

 received in 2016-08-06, accepted in 2016-11-04,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundSeveral methods have been reported for intercalary reconstruction of femoral defects. Of these, free vascularized fibula grafts (FVFG) are preferred because of their durability, bone-healing potential, and tolerance to infection. If the bone tumor invades the femoral vessels, simultaneous vascular reconstruction also becomes necessary and significant technical hurdles make limb salvage difficult.Case presentationWe present a 10-year-old girl who underwent limb-sparing surgery for a distal femur osteosarcoma. The femoral defect was 15 cm long, and the femoral vessel defect was 10 cm long. The femur was reconstructed with bilateral FVFG, and the femoral vessels were reconstructed with saphenous vein grafts. The grafts survived without vascular compromise, and the affected limb was preserved successfully.ConclusionsCombined use of bilateral FVFG and autologous vein grafts makes limb-sparing surgery for a large osteosarcoma of the femur possible.

【 授权许可】

CC BY   
© The Author(s). 2016