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International Orthopaedics

, Volume 35, Issue 11, pp 1689–1694 | Cite as

Proximal fibula resection in the treatment of bone tumours

  • Ralf DieckmannEmail author
  • Carsten Gebert
  • Arne Streitbürger
  • Marcel-Philipp Henrichs
  • Uta Dirksen
  • Robert Rödl
  • Georg Gosheger
  • Jendrik Hardes
Original Paper

Abstract

Background and objectives

We present a large study of patients with proximal fibula resection. Moreover we describe a new classification system for tumour resection of the proximal fibula independent of the tumour differentiation.

Methods

In 57 patients the functional and clinical outcomes were evaluated. The follow-up ranged between six months and 22.2 years (median 7.2 years). The indication for surgery was benign tumours in ten cases and malignant tumours in 47 cases. In 13 of 45 patients, where a resection of the lateral ligament complex was done, knee instability occurred. In 32 patients a resection of the peroneal nerve with resulting peroneal palsy was necessary.

Results

Patients with peroneal resection had significantly worse functional outcome than patients without peroneal resection. An ankle foot orthosis was tolerated well by these patients. Three of four patients with pathological tibia fracture had local radiation therapy. There was no higher risk of tibia fracture in patients with partial tibial resection.

Conclusions

Resection of tumours in the proximal fibula can cause knee instability, peroneal palsy and in cases of local radiation therapy, a higher risk of delayed wound healing and fracture. Despite the risks of proximal fibula resection, good functional results can be achieved.

Keywords

Peroneal Nerve Lateral Collateral Ligament Biceps Tendon Wide Resection Common Peroneal Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Ralf Dieckmann
    • 1
    Email author
  • Carsten Gebert
    • 4
  • Arne Streitbürger
    • 1
  • Marcel-Philipp Henrichs
    • 1
  • Uta Dirksen
    • 3
  • Robert Rödl
    • 2
  • Georg Gosheger
    • 1
  • Jendrik Hardes
    • 1
  1. 1.Department of Orthopaedics and Tumour OrthopaedicsUniversity Hospital of MünsterMünsterGermany
  2. 2.Department of Children’s Orthopaedics, Deformity Reconstruction and Foot SurgeryUniversity Hospital of MünsterMünsterGermany
  3. 3.Department of Paediatric OncologyUniversity Hospital MünsterMünsterGermany
  4. 4.Department of Tumour and Revision SurgeryOrthopaedic Hospital VolmarsteinWetterGermany

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