Non-vascularised fibula grafts for reconstruction of segmental and hemicortical bone defects following meta- /diaphyseal tumour resection at the extremities

Lenze, Ulrich; Kasal, Stefanie; Hefti, Fritz; Krieg, Andreas Heinrich

doi:10.1186/s12891-017-1640-z

Table 1 Patient characteristics and results

From: Non-vascularised fibula grafts for reconstruction of segmental and hemicortical bone defects following meta- /diaphyseal tumour resection at the extremities

Case	Diagnosis	Age (years)	Site	Defect length (cm)	Reconstruction	Neo−/adjuvant therapy	Time to union (weeks)	Functional score^b (%)	Fibular remodelling	Complications
Case	Diagnosis	Age (years)	Site	Defect length (cm)	Reconstruction	Neo−/adjuvant therapy	Time to union (weeks)	Functional score^b (%)	Fibular remodelling	Fatigue fracture	Infection	Others
1	Hemangiopericytoma	5.5	Femur	12	s	NAC	Non-union	80	complete	1
2	Aneurysmal bone cyst	11.0	Femur	7	h		12	90	complete
3	Chondrosarcoma	13.6	Femur	14	s		32	90	partial			PP (transient)
4	Osteosarcoma	14.0	Tibia	12	s	NAC, AC	61^a	70	complete
5	Chondrosarcoma	16.1	Humerus	20	s	AC	29	80	complete	1
6	Fibrous dysplasia	16.8	Humerus	22	s		25	83	NE			LR
7	Adamantinoma	17.2	Tibia	24	h		45	80	partial
8	Giant cell tumor	17.7	Fibula	6,5	s		11	90	NE
9	Osteochondroma	20.9	Femur	9,5	h		31	67	NE
10	Chondrosarcoma	23.3	Femur	13	s		38	67	partial
11	Fibrous dysplasia	24.2	Radius	19	s		24	80	NE
12	Ewing’s sarcoma	26.5	Humerus	14	s	NAC, AC, AR	Non-union	37	NE		1 (deep)
13	Chondrosarcoma	28.4	Femur	9	s		22	63	NE
14	Chondrosarcoma	29.2	Humerus	10	s		18	90	NE	1
15	Aneurysmal bone cyst	29.5	Humerus	14	h		26	90	none
16	Chondrosarcoma	31.7	Femur	8	s		23	67	partial
17	Chondrosarcoma	33.2	Femur	7	h		16	90	NE		1 (superficial)	LR PP (transient)
18	Osteochondroma	38.3	Femur	12	h		26	70	none
19	Myxoid liposarcoma	44.6	Femur	9	h	AR	17	90	none
20	Osteosarcoma	18.6	Femur	9	h		19	93	complete			LR
21	Osteofibrous dysplasia like adamantinoma	17.6	Tibia	7	h		18	93	complete
22	Osseous hemangioma	33.7	Femur	18	h		14	87	partial	1
23	Periosteal desmoid	68.3	Ulna	8	h		27	87	NE
24	Chondrosarcoma	13.1	Femur	12	s		22	97	complete	1
25	Ewing‘s sarcoma	16.2	Fibula	8	h	NAC, AC, AR	18	100	partial
26	Osteofibrous dysplasia	14.6	Tibia	17	h		47	80	complete
27	Synovial sarcoma	45.7	Femur	15	s		22	100	partial
28	Giant osteochondroma	22.2	Femur	10	h		20	90	NE
29	Osteoid osteoma	9.4	Radius	5	s		13	87	complete
30	Giant cell tumor	38.8	Femur	7	h		26	93	partial
31	Aneurysmal bone cyst	9.0	Femur	6,5	h		17	97	complete
32	Aneurysmal bone cyst	42.9	Tibia	5	h		17	97	none
33	Atypical periosteal chondroma	14.9	Humerus	5	h		27	97	partial
34	Chondroblastoma	18.0	Femur	5,5	h		8	-	NE
35	Aneurysmal bone cyst	5.6	Femur	6,5	h		7	93	complete
36	Chondrosarcoma	28.2	Femur	8	h		19	83	partial			LR

Legend: s segmental, h hemicortical NAC neoadjuvant chemotherapy, AC adjuvant chemotherapy, AR adjuvant radiation therapy; NE not examined; LR local recurrence; PP peroneal nerve palsy
^adelayed union; ^baccording to the Musculoskeletal Tumor Society Rating Scale (MSTS) [22]

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ISSN: 1471-2474

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