Transposition of a vascularised distal femoral bone graft after wide resection of a diaphyseal Ewing's sarcoma--a salvage procedure.
We report a case of a 26-year-old woman with a surgical stage IIb lesion of Ewing's sarcoma of the left femur diaphysis. After intracompartmental wide resection a custom-made diaphyseal spacer was inserted for optional secondary biological reconstruction. Treatment-associated complications such as loosening of the implant and a septic process made a limb-preserving procedure impossible, and therefore a salvage procedure with transposition of the vascularised distal femur as a graft for lengthening of the short proximal femur was necessary. This unfortunate course is an example of limb-salvage surgery that not infrequently leads to reoperations or ultimately an amputation. Therefore individual surgical procedures have to be considered to provide the best limb function.
Department of Orthopaedics, University of Würzburg, Germany.
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Raab
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Krauspe
D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005266:Femoral Neoplasms / Q000175:diagnosis / Q000601:surgery*; D005269:Femur / Q000637:transplantation*; D006801:Humans; D009367:Neoplasm Staging; D019736:Prostheses and Implants; D011475:Prosthesis Failure; D016879:Salvage Therapy / Q000379:methods*; D012512:Sarcoma, Ewing / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome