A case of multicentric synchronous osteosarcoma treated with a vascularized tibia graft from an amputated limb.

A 10-year-old girl with synchronous lesions of osteosarcoma in the left proximal tibia and in the right distal radius but with no lung metastasis was treated by an innovative procedure. After an above-knee amputation and a wide excision of the distal halves of the radius and ulna, the skeletal defect of the forearm was replaced by the distal tibia harvested from the amputated leg using the microsurgical technique of revascularization. The result was encouraging up to the point of her death due to other, widespread lesions.