Original biological reconstruction of the hip in a 4-year-old girl.
We resected the proximal femur in a 4-year-old child who had Ewing's sarcoma. We reconstructed her hip by an autotransplant of the ipsilateral proximal fibula with its vascular supply, inserted inside a massive bone allograft, and fixed to the residual femur by a plate. Serial postoperative imaging showed the progressive hypertrophy of the transplanted fibula, whose head displayed impressive tridimensional growth inside the acetabulum. 4 years after surgery, hip motility is 100 degrees in flexion, 10 degrees in extension, and 30 degrees in abduction, and the patient's limb is weight bearing.
Manfrini
Marco
M
Department of Musculo-Skeletal Oncology, Istituto Ortopedico Rizzoli, via Pupilli 1, 40136, Bologna, Italy. marco.manfrini@ior.it
Innocenti
Marco
M
Ceruso
Massimo
M
Mercuri
Mario
M
D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016025:Bone Transplantation; D002675:Child, Preschool; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery*; D005360:Fibula; D006801:Humans; D011859:Radiography; D012512:Sarcoma, Ewing / Q000000981:diagnostic imaging / Q000601:surgery*