title: Reconstruction of the Midfoot Using a Free Vascularized Fibular Graft After En Bloc Excision for Giant Cell Tumor of the Tarsal Bones: A Case Report.
abstract: We report the case of a 32-year-old Japanese female with a giant cell tumor of bone involving multiple midfoot bones. Giant cell tumors of bone account for approximately 5% of all primary bone tumors and most often arise at the ends of long bones. The small bones, such as those of the hands and feet, are rare sites for giant cell tumors. Giant cell tumors of the small bones tend to exhibit more aggressive clinical behavior than those of the long bones. The present patient underwent en bloc tumor excision involving multiple tarsals and metatarsals. We reconstructed the longitudinal arch of the foot with a free vascularized fibular graft. At the 2-year follow-up visit, bony union had been achieved, with no tumor recurrence.
authors.affiliation: Research Associate, Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. Electronic address: mitohi@med.kobe-u.ac.jp.
authors.forename: Hitomi
authors.initials: H
authors.lastname: Hara
authors.affiliation: Research Associate, Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Teruya
authors.initials: T
authors.lastname: Kawamoto
authors.affiliation: Orthopedist, Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Onishi
authors.affiliation: Professor, Hyogo University of Health Sciences School of Rehabilitation, Kobe, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Fujioka
authors.affiliation: Lecturer, Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Nishida
authors.affiliation: Associate Professor, Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Kuroda
authors.affiliation: Professor, Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kurosaka
authors.affiliation: Professor, Department of Rehabilitation Science, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Akisue
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D005360:Fibula / Q000098:blood supply / Q000637:transplantation; D005500:Follow-Up Studies; D018212:Giant Cell Tumor of Bone / Q000000981:diagnostic imaging* / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D007150:Immunohistochemistry; D008279:Magnetic Resonance Imaging / Q000379:methods; D064847:Multimodal Imaging / Q000379:methods; D010027:Osteotomy / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D013639:Tarsal Bones / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: free vascularized fibular graft; giant cell tumor of bone; midfoot; reconstruction