Reconstruction of the first and second metatarsals with free vascularised double-barrelled fibular graft after resection of a chondrosarcoma.
We report the case of a 71-year-old woman with a chondrosarcoma originating in the first metatarsal of the left foot. We performed a wide resection and reconstructed the first and second metatarsals with a free vascularised double-barrelled fibular graft. Her limb was successfully salvaged with functional and aesthetic results. Two years after surgery, the patient is able to walk without any ortho-prosthetic devices and has returned to farm work. The details of the technique applied in this case have been described in this article.
Toriyama
Kazuhiro
K
Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School of Medicine, Showa-ku, Nagoya 466-8560, Japan. tori@med.nagoya-u.ac.jp
Kamei
Yuzuru
Y
Yagi
Shunjiro
S
Uchibori
Mitsutoshi
M
Nishida
Yoshihiro
Y
Torii
Shuhei
S
D000368:Aged; D001859:Bone Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D002813:Chondrosarcoma / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008682:Metatarsal Bones / Q000098:blood supply / Q000601:surgery*