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Updated: Oct 5, 2025
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Published on: May 23, 2025
Free Double-Barrel Vascularized Fibular Graft for Two-Bone Forearm Reconstruction After Tumor Resection: A Case
ZhaoHui Pan1, Shan Xue, Peng Gao
1Institute of Orthopaedic Trauma Surgery of the Chinese People's Liberation Army, 80th Group Military Hospital, Weifang, China.
Case:
Two-bone forearm reconstruction after tumor resection in pediatric patients is challenging. We present a case of forearm reconstruction in a girl who underwent resection of a high-grade surface osteosarcoma involving the ulna and radius. A free vascularized fibular graft was osteotomized to 2 struts to reconstruct the two-bone defect. The patient recovered well but returned for excision of ossification of the periosteum hinge occurring 6 months postoperatively.
Conclusion:
Neither recurrence nor metastasis was observed during the 5-year follow-up. Although there was a 50° loss of pronation and the left-vs.-right forearm discrepancy was 4 cm, she was able to resume her daily activities.
