[Value of bony resection-reconstruction by avascular autologous fibular graft in the tropical milieu. Treatment of a giant cavernous hemangioma of the humerus].
In a poorly equipped tropical setting, limb amputation is often considered as the only therapeutic solution for malignant tumors or large benign tumors. However it can be avoided by bone replacement using an avascular autologous fibular graft. This method was used in a young girl from Tchad presenting a giant cavernous hemangioma of the humerus. This technique allowed salvage of the extremity but resulted inevitably in radial paralysis. The time needed for bone healing was normal. This technique required minimum facilities and was perfectly biocompatible. It can be used in tropical settings where allograft techniques and prosthetic replacement are not available.
Thiery
J F
JF
Service de Chirurgie Orthopédique, HIA LAVERAN, Marseille-Armées, France.
Martet
G
G
Lemesle
L
L
Vaujany
P
P
Escarment
J
J
Merrien
Y
Y
D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001860:Bone Plates; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D005260:Female; D005360:Fibula / Q000637:transplantation; D006392:Hemangioma, Cavernous / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D006811:Humerus; D010027:Osteotomy / Q000379:methods; D010243:Paralysis / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology; D011826:Radial Nerve / Q000293:injuries; D011859:Radiography; D014330:Tropical Medicine; D014945:Wound Healing
Intérêt de la résection-reconstruction osseuse par péroné autologue non vascularisé en milieu tropical. A propos du traitement d'un hémangiome caverneux géant de l'humerus.