Orthopedic results of limb-salvage surgery use wide resection surgery and vascularized fibular grafts

  • Bùi Hoàng Lạc Bệnh viện Chấn thương Chỉnh hình TP. Hồ Chí Minh
  • Tống Xuân Vũ Bệnh viện Chấn thương Chỉnh hình TP. Hồ Chí Minh
  • Diệp Thế Hòa Bệnh viện Chấn thương Chỉnh hình TP. Hồ Chí Minh
  • Lê Văn Thọ Bệnh viện Chấn thương Chỉnh hình TP. Hồ Chí Minh
  • Lê Chí Dũng Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

Vascularized fibular graft, bone graft hypertrophy, limb-salvage surgery

Abstract

Objective: To evaluate orthopedic results of limb-salvage surgery use wide resection surgery and vascularized fibular grafts. Subject and method: 41 cases of malignant and borderline bone tumor at humerus, radial, tibia were treated by operation at Bone and Joint Pathology Department, Hopital for Trauma and Orthopaedic in Ho Chi Minh City from 2005 to 2020. Methods: Prospective study, evaluation of bone healing according to Hsu, graft hypertrophy according to De Boer and Wood, function was documented according to the MSTS (Musculoskeletal Tumor Society) functional scoring system. Result: Average age 26.3 (25 male-16 female). Average follow-up 79.2 ± 54.2 months, 100% bone healing, average bone healing time 5.20 ± 0.68 months, bone graft hypertrophy 43.9%. The mean limb function according to MSTS was 81% ± 8.65%. Conclusion: The limb-salvage surgery of malignant and borderline bone tumor use wide resection surgery and vascularized fibular grafts gives good orthopedic results.

Article Details

References

1. Lê Chí Dũng (2003) Bướu xương: lâm sàng - hình ảnh y học - giải phẫu bệnh và điều trị. Nhà xuất bản y học, tr. 28-76.
2. Chen CM, Disa JJ, Lee HY et al (2007) Reconstruction of extremity long bone defects after sarcoma resection with vascularized fibula Flaps: A 10-year review. Plast. Reconstr. Surg 119: 915-929.
3. De Boer HH, Wood MB (1989) Bone changes in the vascularized fibular graft. J Bone Joint Surg (Br) (71-B): 374-378.
4. Enneking WF (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal System. Clin Orthop Relat Res 286: 241-246.
5. Eward WC, Kontogeorgakos V, Levin LS et al (2010) Free vascularized fibular graft reconstruction of large skeletal defects after tumor resection. Clin Orthop Relat Res 468: 590-598.
6. Gebert C, Hillmann A, Schwappach A (2006) Free vascularised fibular grafting for reconstruction after tumor resection in the upper extremity. Journal of Surgical Oncology 94: 114-127.
7. Gorski SM, Dong C, Krieg AH (2021) Vascularized bone graft reconstruction following bone tumor resection at a multidisciplinary sarcoma center: outcome analysis. Anticancer Research 41: 5015-5023.
8. Hsu RW, Wood MB, Sim FH, Chao EY (1997) Free vascularised fibular grafting for reconstruction after tumour Resection. J Bone Joint Surg Br 9(1): 36-42.
9. Minami A, Kutsumi K, Takeda N et al (1995) Vascularized fibular graft for bone reconstruction of the extremities after tumor resection in limb-saving procedures. Mcrosurgery 16: 56-64.
10. Zelenski N, Brigman BE, Levin LS et al (201) The vascularized fibular graft in the pediatric upper extremity: A durable, biological solution to large oncologic defects. Hindawi Pubshing Corporation, sarcoma. Article ID321201. 2013: 7.

Article Sidebar

PDF (Tiếng Việt)
Published
Feb 28, 2023
DOI: https://doi.org/10.52389/ydls.v18i2.1753
Issue
Volume 18 - No 2/2023
Section
Articles
How to Cite
LạcB. H., VũT. X., HòaD. T., ThọL. V., & DũngL. C. (2023). Orthopedic results of limb-salvage surgery use wide resection surgery and vascularized fibular grafts. Tạp Chí Y Dược lâm sàng 108, 18(2). https://doi.org/10.52389/ydls.v18i2.1753