Vahabi Arman, Kaya Hüseyin, İman Esat, Topaloğlu Ege, Biçer Ahmet, Daştan Ali Engin, Sabah Dündar
Department of Orthopedics and Traumatology, Ege University School of Medicine, Izmir, Turkey.
Department of Plastic and Reconstructive Surgery, Ege University School of Medicine, Izmir, Turkey.
JBJS Case Connect. 2025 May 8;15(2). doi: e24.00617. eCollection 2025 Apr 1.
A 10-year-old male patient was diagnosed with osteosarcoma and initially underwent prosthetic reconstruction following an extra-articular resection. Local recurrence with extensive neurovascular invasion necessitated the decision to perform a transfemoral amputation. To maximize functional outcome through lengthening the stump, a tibial osseocutaneous vascularized flap from the amputated limb was integrated into amputation stump, utilizing plate-and-screw fixation. At the final follow-up, the patient was independently ambulatory using a custom-made prosthesis.
We present a patient operated with a novel technique to increase transfemoral amputation stump length for recurrent osteosarcoma by using an osseocutaneous flap reconstruction.
一名10岁男性患者被诊断为骨肉瘤，最初在关节外切除术后接受了假体重建。局部复发并伴有广泛的神经血管侵犯，因此决定进行经股骨截肢术。为了通过延长残肢来最大限度地提高功能结果，将来自截肢肢体的带血管蒂胫骨骨皮瓣通过钢板螺钉固定整合到截肢残端。在最后一次随访时，患者使用定制假体可独立行走。
我们报告了一名患者接受了一种新技术手术，即通过骨皮瓣重建来增加复发性骨肉瘤经股骨截肢残端的长度。
