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.
Raab
P
P
Department of Orthopaedics, University of Würzburg, Germany.
Krauspe
R
R
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