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Vascularized fibular graft as a surgical option for osteosarcoma of distal humerus: A case report
Achmad Fauzi Kamal1, Anggaditya Putra1, Wahyu Widodo1
1Department of Orthopaedic and Traumatology Cipto Mangunkusumo General, Hospital/Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Introduction:
Distal humerus is a very rare predilection site of osteosarcoma. Limb salvage surgery has widely replaced amputation for surgical treatment of most types of malignant bone sarcomas.
Presentation Of Case:
We presented a 42 years old male with rapidly growing osteosarcoma on his right distal humerus. After induction chemotherapy, wide excision and reconstruction using free vascularized fibular graft followed with interpositional elbow arthroplasty technique was done.
Discussion:
One of the option for surgical treatment for distal humerus osteosarcoma is limb salvage sugery with free vascularized fibular graft technique. Good functional outcome and no signs of local recurrence were found during 2,5 years follow up.
Conclusion:
Free vascularized fibular graft with interpositional elbow arthroplasty is a good option for management of bone sarcoma of distal humerus.
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