Microsurgical Fibular Flap for Pelvic Ring Reconstruction after Periacetabular Tumor Resection

Guangrong Yu; Feng Zhang; Jiaqian Zhou; Shimin Chang; Liming Cheng; Yongwei Jia; Haifeng Li; William C Lineaweaver

doi:10.1055/s-2007-974648

Journal of Reconstructive Microsurgery, Table of Contents

J Reconstr Microsurg 2007; 23(03): 137-142
DOI: 10.1055/s-2007-974648

Original Article

Microsurgical Fibular Flap for Pelvic Ring Reconstruction after Periacetabular Tumor Resection

Authors

Guangrong Yu

¹Department of Orthopedic Surgery, Tongji University, Tongji Hospital, Shanghai, China
Feng Zhang

²Division of Plastic Surgery, University of Mississippi Medical Center, Jackson, Mississippi
Jiaqian Zhou

¹Department of Orthopedic Surgery, Tongji University, Tongji Hospital, Shanghai, China
Shimin Chang

¹Department of Orthopedic Surgery, Tongji University, Tongji Hospital, Shanghai, China
Liming Cheng

¹Department of Orthopedic Surgery, Tongji University, Tongji Hospital, Shanghai, China
Yongwei Jia

¹Department of Orthopedic Surgery, Tongji University, Tongji Hospital, Shanghai, China
Haifeng Li

¹Department of Orthopedic Surgery, Tongji University, Tongji Hospital, Shanghai, China
William C Lineaweaver

²Division of Plastic Surgery, University of Mississippi Medical Center, Jackson, Mississippi

Abstract

Reconstruction after resection of tumor about the acetabulum represents a considerable challenge in reconstructive surgery. Between 1999 and 2003, three patients with periacetabular tumors underwent tumor resections (Ennecking type B) and pelvic ring reconstruction with microsurgical fibular flaps. Histological diagnosis showed oseosarcoma, giant cell tumor, and aneurysmoid bone cyst. All patients survived surgery without complications. The follow-up for patients ranged from 14 to 42 months. The average time for bone healing and full weight bearing was 13.6 weeks after surgery. In evaluations of the functional outcome using Enneking scoring system, two reached the score of excellent (≥ 23 points), and one reached the score of good (15 to 22 points). This report shows our experience in use of microsurgical fibular flaps for arthrodesis of the hip after periacetabular tumor resection, which restores the continuity of the pelvic ring with minimal shortening of the limb.

Keywords

Pelvis - reconstruction - fibular - microsurgery

Full Text

References

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