title: More than 20-year Follow-Up After Vascularised Fibula Head Graft for Oncological Shoulder Joint Reconstruction.
abstract: BACKGROUND
  In our Department, the vascularized fibula head has been the preferred option for proximal humerus reconstruction for approximately 30 years. The purpose of the present study was to analyze the long-term functional outcome for oncological shoulder reconstruction.
  
  
  METHODS
  The vascularized fibula head was transferred in 3 patients; 2 with giant cell tumor and 1 with low-grade chondrosarcoma. Functional results were evaluated using the rating system of the Musculoskeletal Tumor Society. We obtained information by means of a telephone questionnaire in 1 patient and by direct examination in 2 patients. The mean follow-up period was 24 years and 4 months.
  
  
  CONCLUSIONS
  Absorption of the transferred fibula head was not observed in any of the examined patients. The mean overall functional rating was 75.6%. Results with regard to pain, positioning of the hand, and manual dexterity were more satisfactory than those of function and lifting ability. The present long-term study demonstrated that the reconstructed shoulder joint was clinically and radiologically maintained for more than 20 years after surgery.
authors.affiliation: Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan kubot@hiroshima-u.ac.jp.
authors.forename: Tadahiko
authors.initials: T
authors.lastname: Kubo
authors.affiliation: Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
authors.forename: Taisuke
authors.initials: T
authors.lastname: Furuta
authors.affiliation: Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Ochi
mesh_terms: D000328:Adult; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012785:Shoulder Joint / Q000601:surgery*; D013997:Time Factors
keywords: bone tumor; fibula head; functional outcome; shoulder reconstruction; vascularised bone graft