Ozaki T, Hillmann A, Lindner N, Winkelmann W
Department of Orthopaedics, Westfälische Wilhelms University, Münster, Germany.
Arch Orthop Trauma Surg. 1997;116(8):475-9. doi: 10.1007/BF00387580.
Nine patients with Ewing's sarcomas and seven patients with osteosarcoma of the fibula were treated surgically. The bone defect after tumour resection ranged from 5 to 25 cm (median 14 cm). Ten sarcomas were located in the proximal and six in the diaphyseal or distal fibula. Nine of ten patients with sarcomas located in the proximal fibula underwent a resection of the tumour including the common peroneal nerve. In one patient with a tumour in the proximal fibula, the peroneal nerve was preserved; however, this patient underwent amputation because of surgery with an intralesional margin. In five patients with a tumour in the distal fibula, the peroneal nerve was preserved. However, two of these five patients underwent amputation as an adequate surgical margin could not be achieved during resection. All ten patients in whom the peroneal nerve was resected achieved satisfactory function by wearing a peroneal brace. In patients with Ewing's sarcoma of the proximal fibula, preservation of the common peroneal nerve may be chosen as an alternative possibility of resection.
9例尤因肉瘤患者和7例腓骨骨肉瘤患者接受了手术治疗。肿瘤切除后的骨缺损范围为5至25厘米（中位数为14厘米）。10例肉瘤位于腓骨近端，6例位于腓骨干或远端。10例位于腓骨近端的肉瘤患者中有9例接受了包括腓总神经在内的肿瘤切除术。1例腓骨近端有肿瘤的患者保留了腓神经；然而，该患者因手术切缘为瘤内而接受了截肢。5例腓骨远端有肿瘤的患者保留了腓神经。然而，这5例患者中有2例接受了截肢，因为切除过程中无法获得足够的手术切缘。所有10例切除了腓神经的患者通过佩戴腓骨支具获得了满意的功能。对于腓骨近端尤因肉瘤患者，保留腓总神经可作为一种替代的切除选择。
