Biological reconstruction of the femur using double free vascularized fibular autografts in a vertical array because of a large defect following wide resection of an osteosarcoma:  a case report with 7 years of follow-up.
Free vascularized fibular autograft transfer to the defect area after wide resection of bone sarcoma is one of many biological reconstruction methods. We report on an 8-year-old girl with 7 years of follow-up treated for right femur osteosarcoma. A 26 cm long tumor was resected with clear margins. Because the length of one fibular autograft was shorter than the defect length, bilateral free vascularized fibular autografts were used in a vertical array on top of one another, and placed inside a fresh-frozen femoral allograft. The original length of the femur was maintained by this technique.
Department of Orthopedics and Traumatology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
Harzem
H
Ozger
Turgut
T
Akgul
Fatih
F
Yildiz
Murat
M
Topalan
D001859:Bone Neoplasms / Q000601:surgery*; D002648:Child; D005260:Female; D005269:Femur / Q000601:surgery*; D005360:Fibula / Q000098:blood supply* / Q000637:transplantation*; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods; D012516:Osteosarcoma / Q000601:surgery*