Limb salvage with microvascular free fibula following primary bone sarcoma resection
Background: Extremity sarcomas are challenging to manage. Total eradication of tumour has to be balanced with restoration of limb function to prevent mortality and morbidity. Disease-free survival with maximum limb function is the ultimate goal in these patients. Materials and Methods: We present a...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2016-09-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.197244 |
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| author | Sahasrabudhe Parag Panchwagh Yogesh Jesal Rathod Panse Nikhil Jadhav Amit |
| author_facet | Sahasrabudhe Parag Panchwagh Yogesh Jesal Rathod Panse Nikhil Jadhav Amit |
| author_sort | Sahasrabudhe Parag |
| collection | DOAJ |
| description | Background: Extremity sarcomas are challenging to manage. Total eradication of tumour has to be balanced with restoration of limb function to prevent mortality and morbidity. Disease-free survival with maximum limb function is the ultimate goal in these patients. Materials and Methods: We present a series of ten cases of extremity malignancies, where limb salvage was attempted with microvascular free fibula for limb reconstruction from the period of 2008 to 2015. Results: Of the ten cases in the study, there were two females and eight males. There were nine patients with lower limb malignancies and one patient with upper limb malignancy. There were four patients with Ewing’s sarcoma of femur, five patients with osteosarcoma of femur and one patient with chondrosarcoma of the humerus. The follow-up period ranged from 1.2 to 6.2 years with mean follow-up of 3.1 years. There were two deaths during follow-up, both were due to distant metastasis. The assessment of the function was done on the basis of Musculoskeletal Tumour Society functional score. Maximum score was 30 and minimum score was 24, the average score being 26. Of the eight surviving patients, three patients had full weightbearing, four patients had partial weightbearing at end of 2 years and one patient of upper limb reconstruction had complete upper limb function. None of the patients had to undergo limb amputation. Conclusion: Limb salvage with vascularised fibula graft offers good functional outcome along with good disease-free survival rates. |
| format | Article |
| id | doaj-art-1ebc2952ad364200b750dfd74dd5f5cc |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2016-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
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| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-1ebc2952ad364200b750dfd74dd5f5cc2025-08-20T02:03:47ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2016-09-01490337037710.4103/0970-0358.197244Limb salvage with microvascular free fibula following primary bone sarcoma resectionSahasrabudhe Parag0Panchwagh Yogesh1Jesal Rathod2Panse Nikhil3Jadhav Amit4Department of Plastic Surgery, B.J. Government Medical College and Sassoon General Hospitals, Pune, Maharashtra, IndiaDepartment of Plastic Surgery, Deenanath Hospital, Pune, Maharashtra, IndiaDepartment of Plastic Surgery, Deenanath Hospital, Pune, Maharashtra, IndiaDepartment of Plastic Surgery, B.J. Government Medical College and Sassoon General Hospitals, Pune, Maharashtra, IndiaDepartment of Plastic Surgery, Deenanath Hospital, Pune, Maharashtra, IndiaBackground: Extremity sarcomas are challenging to manage. Total eradication of tumour has to be balanced with restoration of limb function to prevent mortality and morbidity. Disease-free survival with maximum limb function is the ultimate goal in these patients. Materials and Methods: We present a series of ten cases of extremity malignancies, where limb salvage was attempted with microvascular free fibula for limb reconstruction from the period of 2008 to 2015. Results: Of the ten cases in the study, there were two females and eight males. There were nine patients with lower limb malignancies and one patient with upper limb malignancy. There were four patients with Ewing’s sarcoma of femur, five patients with osteosarcoma of femur and one patient with chondrosarcoma of the humerus. The follow-up period ranged from 1.2 to 6.2 years with mean follow-up of 3.1 years. There were two deaths during follow-up, both were due to distant metastasis. The assessment of the function was done on the basis of Musculoskeletal Tumour Society functional score. Maximum score was 30 and minimum score was 24, the average score being 26. Of the eight surviving patients, three patients had full weightbearing, four patients had partial weightbearing at end of 2 years and one patient of upper limb reconstruction had complete upper limb function. None of the patients had to undergo limb amputation. Conclusion: Limb salvage with vascularised fibula graft offers good functional outcome along with good disease-free survival rates.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.197244bone sarcomalimb salvagevascularised fibula flap |
| spellingShingle | Sahasrabudhe Parag Panchwagh Yogesh Jesal Rathod Panse Nikhil Jadhav Amit Limb salvage with microvascular free fibula following primary bone sarcoma resection Indian Journal of Plastic Surgery bone sarcoma limb salvage vascularised fibula flap |
| title | Limb salvage with microvascular free fibula following primary bone sarcoma resection |
| title_full | Limb salvage with microvascular free fibula following primary bone sarcoma resection |
| title_fullStr | Limb salvage with microvascular free fibula following primary bone sarcoma resection |
| title_full_unstemmed | Limb salvage with microvascular free fibula following primary bone sarcoma resection |
| title_short | Limb salvage with microvascular free fibula following primary bone sarcoma resection |
| title_sort | limb salvage with microvascular free fibula following primary bone sarcoma resection |
| topic | bone sarcoma limb salvage vascularised fibula flap |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.197244 |
| work_keys_str_mv | AT sahasrabudheparag limbsalvagewithmicrovascularfreefibulafollowingprimarybonesarcomaresection AT panchwaghyogesh limbsalvagewithmicrovascularfreefibulafollowingprimarybonesarcomaresection AT jesalrathod limbsalvagewithmicrovascularfreefibulafollowingprimarybonesarcomaresection AT pansenikhil limbsalvagewithmicrovascularfreefibulafollowingprimarybonesarcomaresection AT jadhavamit limbsalvagewithmicrovascularfreefibulafollowingprimarybonesarcomaresection |