Elbatrawy Yasser, Philips Giby C
Elzahra'a University Hospital, Azhar University, Cairo, 11884, Egypt,
Strategies Trauma Limb Reconstr. 2011 Nov;6(3):167-71. doi: 10.1007/s11751-011-0106-3. Epub 2011 Apr 12.
Bone tumours present a challenge to reconstructive surgery when the tumour breaches the physeal and periphyseal region of the growing bone. Though a host of options are available, these are not without complications. We report one such case of osteosarcoma of the tibia treated initially with wide resection of the tumour and intercalary fibular strut grafting using plate and screws. The operation was complicated by a non-union at the proximal tibio-fibular autograft junction. This leads to a multiplanar deformity with severe procurvatum at the proximal tibio-fibular graft junction, which was successfully treated by callotasis using an Ilizarov fixator. Appropriate consent was obtained from the patient and parents to publish this case report.
当肿瘤侵犯正在生长的骨骼的骨骺和骨骺周围区域时，骨肿瘤给重建手术带来了挑战。尽管有许多选择，但这些选择并非没有并发症。我们报告了一例胫骨骨肉瘤病例，最初采用肿瘤广泛切除并使用钢板和螺钉进行腓骨支撑骨移植治疗。手术因胫骨近端与腓骨自体移植连接处不愈合而复杂化。这导致了多平面畸形，胫骨近端与腓骨移植连接处出现严重前凸，使用Ilizarov固定器通过骨痂延长术成功治疗。已获得患者及其父母的适当同意以发表本病例报告。
