title: One-bone forearm reconstruction using vascularized fibular graft for massive forearm soft-tissue and bone defect: case report.
abstract: The authors report a case of recurrent malignant fibrous histiocytoma with extensive bone- and soft-tissue involvement, successfully treated with one-bone forearm reconstruction using a vascularized fibular graft and multiple tendon transfer. Twenty-four months after surgery, elbow and hand functions were maintained, and the patient had no disturbance of hand function in daily activity, although rotation of the forearm was sacrificed. No local recurrence or metastasis was noted. The procedure is a useful reconstructive option for complex tissue defects following wide excision of sarcoma of the forearm.
authors.affiliation: Department of Orthopaedic Surgery, Sapporo Medical University, South 1 West 16, Sapporo 060-8543, Japan.
authors.forename: Takuro
authors.initials: T
authors.lastname: Wada
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kawaguchi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Isogai
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nagoya
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Yamashita
mesh_terms: D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005542:Forearm; D018219:Histiocytoma, Benign Fibrous / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D020127:Recovery of Function; D012983:Soft Tissue Neoplasms / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply; D013514:Surgical Procedures, Operative / Q000009:adverse effects; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery*