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World Journal of Surgical Oncology

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Open Access 01-12-2016 | Case report

Simultaneous reconstruction of the bone and vessels for complex femoral defect

Authors: Shimpei Miyamoto, Masahide Fujiki, Nokitaka Setsu, Akira Kawai

Published in: World Journal of Surgical Oncology | Issue 1/2016

Abstract

Background

Several methods have been reported for intercalary reconstruction of femoral defects. Of these, free vascularized fibula grafts (FVFG) are preferred because of their durability, bone-healing potential, and tolerance to infection. If the bone tumor invades the femoral vessels, simultaneous vascular reconstruction also becomes necessary and significant technical hurdles make limb salvage difficult.

Case presentation

We present a 10-year-old girl who underwent limb-sparing surgery for a distal femur osteosarcoma. The femoral defect was 15 cm long, and the femoral vessel defect was 10 cm long. The femur was reconstructed with bilateral FVFG, and the femoral vessels were reconstructed with saphenous vein grafts. The grafts survived without vascular compromise, and the affected limb was preserved successfully.

Conclusions

Combined use of bilateral FVFG and autologous vein grafts makes limb-sparing surgery for a large osteosarcoma of the femur possible.

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Title: Simultaneous reconstruction of the bone and vessels for complex femoral defect
Authors: Shimpei Miyamoto
Masahide Fujiki
Nokitaka Setsu
Akira Kawai
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: World Journal of Surgical Oncology / Issue 1/2016
Electronic ISSN: 1477-7819
DOI: https://doi.org/10.1186/s12957-016-1037-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Simultaneous reconstruction of the bone and vessels for complex femoral defect

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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