A 12-year follow-up of allograft reconstruction after wide resection of osteosarcoma of the distal fibula: A case report

Pai-Han Wang, MD; Yi-Shen Luo, MD; Chih-Hsueh Chen, MD, PhD; Po-Kuei Wu, MD, PhD; Cheng-Fong Chen, MD; Fang-Yao Chiu, MD; Wei-Ming Chen, MD

Foot & Ankle Surgery: Techniques, Reports & Cases (Jan 2021)

A 12-year follow-up of allograft reconstruction after wide resection of osteosarcoma of the distal fibula: A case report

Pai-Han Wang, MD,
Yi-Shen Luo, MD,
Chih-Hsueh Chen, MD, PhD,
Po-Kuei Wu, MD, PhD,
Cheng-Fong Chen, MD,
Fang-Yao Chiu, MD,
Wei-Ming Chen, MD

Affiliations

Pai-Han Wang, MD: Department of Orthopaedics, Therapeutical and Research Center of Musculoskeletal Tumor, Taipei Veterans General Hospital, 201 Shi-Pai Road, Beitou District, Taipei 11217, Taiwan; Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Orthopedics, School of Medicine, National Yang-Ming Chiao Tung University, Taipei, Taiwan; Department of Rehabilitation and Technical Aid Center, Taipei Veterans General Hospital, Taipei, Taiwan
Yi-Shen Luo, MD: Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan
Chih-Hsueh Chen, MD, PhD: Department of Pathology, Taipei Veterans General Hospital, Taipei, Taiwan
Po-Kuei Wu, MD, PhD: Department of Orthopaedics, Therapeutical and Research Center of Musculoskeletal Tumor, Taipei Veterans General Hospital, 201 Shi-Pai Road, Beitou District, Taipei 11217, Taiwan; Institute of Clinical Medicine, School of Medicine, National Yang-Ming Chiao Tung University, Taipei, Taiwan; Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Orthopedics, School of Medicine, National Yang-Ming Chiao Tung University, Taipei, Taiwan; Corresponding author.
Cheng-Fong Chen, MD: Department of Orthopaedics, Therapeutical and Research Center of Musculoskeletal Tumor, Taipei Veterans General Hospital, 201 Shi-Pai Road, Beitou District, Taipei 11217, Taiwan; Department of Orthopedics, School of Medicine, National Yang-Ming Chiao Tung University, Taipei, Taiwan
Fang-Yao Chiu, MD: Department of Orthopaedics & Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Orthopedics, School of Medicine, National Yang-Ming Chiao Tung University, Taipei, Taiwan; Department of Rehabilitation and Technical Aid Center, Taipei Veterans General Hospital, Taipei, Taiwan
Wei-Ming Chen, MD: Department of Orthopaedics, Therapeutical and Research Center of Musculoskeletal Tumor, Taipei Veterans General Hospital, 201 Shi-Pai Road, Beitou District, Taipei 11217, Taiwan; Department of Orthopedics, School of Medicine, National Yang-Ming Chiao Tung University, Taipei, Taiwan; Department of Rehabilitation and Technical Aid Center, Taipei Veterans General Hospital, Taipei, Taiwan

Journal volume & issue: Vol. 1, no. 3
p. 100058

Abstract

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Osteosarcoma over distal fibula is a rare disease. Wide resection of a malignant tumor of the distal fibula may lead to severe lateral ankle instability, lateral displacement of the talus, and even severe ankle osteoarthritis. We present a case of a 16-year-old girl presented with painful swelling over lateral ankle. Radiography revealed an expansile lesion and periosteal reaction over the distal fibula. Magnetic resonance imaging revealed a solitary heterogenous lesion. Histological examination of the open biopsy specimen revealed osteosarcoma. Wide resection and biological reconstruction with allograft followed by skin graft was performed. Over 12-year follow-up, radiography revealed good union. The lateral malleolus allograft appeared to support fair lateral stability over the ankle. The patient had good functional recovery after the long-term follow-up. Osteosarcoma over distal fibula can be treated with wide resection and allograft reconstruction with good functional recovery after long-term follow-up.

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Published in Foot & Ankle Surgery: Techniques, Reports & Cases

ISSN: 2667-3967 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: https://www.journals.elsevier.com/foot-and-ankle-surgery-techniques-reports-and-cases

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