Reconstruction of the pelvic ring using an autologous free non-vascularized fibula graft in a patient with benign fibrous histiocytoma.
BACKGROUND
Benign fibrous histiocytomas (BFH) usually presents as a small benign lesion that predominantly occurs in the skin. Only few cases of BFH arising from bone have been reported, its occurrence in pelvic bones is even rarer.


METHODS
A 34-year-old female presented with BFH at a rare anatomical location on both sides of the os ilium which was larger than earlier reported BFH of the bone. Surgical resection was performed successfully including resection of the inner pelvic ring and reconstruction of the linea terminalis using a non-vascularized fibular autograft. At 18 months after tumor resection and reconstruction of the pelvic ring, with interposition of a free vascularized fibula graft patient has an excellent clinical oncological and functional outcome.


CONCLUSIONS
Non vascularized fibular autograft is a useful reconstructive procedure in select patients.
Niemeyer
Philipp
P
Orthopedic University Hospital, Heidelberg, Germany. PhNiemeyer@aol.com
Ludwig
Karl
K
Werner
Mathias
M
Bernd
Ludger
L
Parsch
Dominik
D