Reconstruction of the Midfoot Using a Free Vascularized Fibular Graft After En Bloc Excision for Giant Cell Tumor of the Tarsal Bones: A Case Report

Abstract We report the case of a 32-year-old Japanese female with a giant cell tumor of bone involving multiple midfoot bones. Giant cell tumors of bone account for approximately 5% of all primary bone tumors and most often arise at the ends of long bones. The small bones, such as those of the hands...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of foot and ankle surgery 2016-07, Vol.55 (4), p.838-841
Main Authors: Hara, Hitomi, MD, PhD, Akisue, Toshihiro, Kawamoto, Teruya, MD, PhD, Onishi, Yasuo, MD, PhD, Fujioka, Hiroyuki, MD, PhD, Nishida, Kotaro, MD, PhD, Kuroda, Ryosuke, MD, PhD, Kurosaka, Masahiro, MD, PhD, Akisue, Toshihiro, MD, PhD
Format: Article
Language:English
Subjects:
Adult
Biopsy, Needle
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - surgery
Bone Transplantation - methods
Combined Modality Therapy
Female
Fibula - blood supply
Fibula - transplantation
Follow-Up Studies
free vascularized fibular graft
giant cell tumor of bone
Giant Cell Tumor of Bone - diagnostic imaging
Giant Cell Tumor of Bone - surgery
Graft Survival
Humans
Immunohistochemistry
Magnetic Resonance Imaging - methods
midfoot
Multimodal Imaging - methods
Orthopedics
Osteotomy - methods
reconstruction
Reconstructive Surgical Procedures - methods
Risk Assessment
Tarsal Bones - pathology
Tarsal Bones - surgery
Tomography, X-Ray Computed - methods
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract We report the case of a 32-year-old Japanese female with a giant cell tumor of bone involving multiple midfoot bones. Giant cell tumors of bone account for approximately 5% of all primary bone tumors and most often arise at the ends of long bones. The small bones, such as those of the hands and feet, are rare sites for giant cell tumors. Giant cell tumors of the small bones tend to exhibit more aggressive clinical behavior than those of the long bones. The present patient underwent en bloc tumor excision involving multiple tarsals and metatarsals. We reconstructed the longitudinal arch of the foot with a free vascularized fibular graft. At the 2-year follow-up visit, bony union had been achieved, with no tumor recurrence.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2015.04.020