title: The use of a free vascularised fibula to reconstruct the radius following the resection of an osteosarcoma in a paediatric patient.
abstract: Osteosarcoma is the most common high grade bone malignancy in children and the surgical treatment traditionally involves amputation. In our case, a 6-year-old girl was diagnosed with an osteosarcoma of the left distal radius after presenting with forearm pain. After initially being offered an amputation, a second opinion was sought and a limb salvage procedure was offered using a free vascularised fibula bone flap. This resulted in limb preserving surgery which allowed the potential for growth with the maximal preservation of function.
authors.affiliation: Department of Plastic and Reconstructive Surgery, The Royal Free London NHS Foundation Trust, Pond Street, Hampstead, London NW3 2QG, UK. joleckenby@gmail.com
authors.forename: J I
authors.initials: JI
authors.lastname: Leckenby
authors.forename: A O
authors.initials: AO
authors.lastname: Grobbelaar
authors.forename: W
authors.initials: W
authors.lastname: Aston
mesh_terms: D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods; D002648:Child; D005260:Female; D005360:Fibula / Q000098:blood supply* / Q000637:transplantation*; D005500:Follow-Up Studies; D058752:Free Tissue Flaps / Q000098:blood supply; D006801:Humans; D023821:Limb Salvage / Q000379:methods; D012516:Osteosarcoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011859:Radiography; D011884:Radius / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D016896:Treatment Outcome