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A new autogenous graft choice in pelvic reconstructions: free vascularized rib (a case report)

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Abstract

Primary or secondary bone tumours are not uncommon in pelvic girdle. In some cases, after radical resection, there is a big bony defect where the prosthesis is not applicable; arthrodesis is the only choice for good functional results. In this instance, the major problem is to achieve the fusion. In this case report, we focused on easy harvesting and minimal time consumption with free vascularized rib graft to achieve the fusion between the resected segments. Two year follow up showed fusion with good functional result.

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References

  1. Aboulafia AJ, Buch R, Mathews J, Li W, Malawer MM (1995) Reconstruction using the saddle prosthesis following excision of primary and metastatic periacetabular tumours. Clin Orthop 314:203–213

    PubMed  Google Scholar 

  2. Berggren A, Weiland AJ, Ostrup LT (1982) Bone scintigraphy in evaluating the viability of composite bone grafts revascularized by microvascular anastomosis, conventional autogenous bone grafts, and free nonrevascularized periosteal grafts. J Bone Joint Surg Am 64:799–809

    PubMed  CAS  Google Scholar 

  3. Burrows HJ, Wilson JN, Scales JT (1975) Excision of tumours of humerus and femur with restoration by internal prostheses. J Bone Joint Surg Br 57:1489–1493

    Google Scholar 

  4. Campanacci M, Capanna R (1987) Closing remarks. In: Enneking WF (eds) Limb salvage in musculoskeletal oncology. Churchill Livingstone, New York, pp 187–191

    Google Scholar 

  5. Cannon SR, Tillman RM, Griner RJ (1995) Treatment of primary bone tumours of the ilium by local resection and fibular strut graft (non-vascularized) [Abstract]. In: Campanacci M, Capanna R (eds) Proceedings of the eighth international symposium on limb salvage, May 10–12, Florence, Italy, p 77

  6. Capanna R, Donati D, Fazioli F (1991) Iliofemoral arthrodesis with intercalary allograft. In: Brown KL (ed) Complications of limb salvage. Proceedings of the sixth international symposium on limb salvage, September 8–11, Montreal, Canada, pp 205–209

  7. Dahlin DC, Coventy MB (1967) Osteosarcoma: a study of six hundred cases. J Bone Joint Surg Br 49:101–105

    CAS  Google Scholar 

  8. De Boer HH, Wood MB (1989) Bone changes in the vascularized fibular graft. J Bone Joint Surg Br 71:374–378

    PubMed  Google Scholar 

  9. Enneking WF, Dunham WK (1978) Resection and reconstruction for primary neoplasms involving the innominate bone. J Bone Joint Surg Am 60:731–746

    PubMed  CAS  Google Scholar 

  10. Enneking WF, Spanier SS, Goodman MA (1980) A system for surgical staging of musculoskeletal sarcoma. Clin Orthop 153:106–120

    PubMed  Google Scholar 

  11. Han CS, Wood MB, Bishop AT, Cooney WP 3rd (1992) Vascularized bone transfer. J Bone Joint Surg Am 74:1441–1449

    PubMed  CAS  Google Scholar 

  12. Ikeda K, Tomita K, Hashimoto F, Morikawa S (1992) Long-term follow-up of vascularized bone grafts for reconstruction of tibial nonunion, evaluation with computed tomography scanning. J Trauma 32:693–697

    PubMed  CAS  Google Scholar 

  13. Langlais F, Vielpeau C (1989) Allografts of the pelvis after tumor resection. Technical aspects of four cases. J Bone Joint Surg Br 71:58–62

    PubMed  CAS  Google Scholar 

  14. Makley JT (1985) The use of allografts to reconstruct intercalary defects of long bones. Clin Orthop 197:58–75

    PubMed  Google Scholar 

  15. Mizumoto S, Tamai S, Goshima J, Yajima H, Yoshii T, Fukui A, Masuhara K (1986) Experimental study of vascularized fibula grafts in bred rats. J Reconstr Microsurg 3:1–11

    Article  PubMed  CAS  Google Scholar 

  16. O’Connor M (1997) Malignant pelvic tumours: limb-sparing resection and reconstruction. Semin Surg Oncol 13:49–54

    Article  PubMed  CAS  Google Scholar 

  17. Takeda N, Kaneda K, Abumi K (1995) Reconstruction with vascularized fibula graft and pedicle screw spinal fixation for malignant tumors [Abstract]. In: Campanacci M, Capanna R (eds) Proceedings of the eighth international symposium on limb salvage, May 10–12, Florence, Italy, p 76

  18. Shpitzer T, Neligan P, Boyd B, Gullane P, Gur E, Freeman J (1997) Leg morbidity and function following fibular free flap harvest. Ann Plast Surg 38:460–464

    Article  PubMed  CAS  Google Scholar 

  19. Steel HH (1978) Partial and complete resection of the pelvis. An alternative to hindquarter amputation for periacetabular chondrosarcoma of the pelvis. J Bone Joint Surg Am 60:719–730

    PubMed  CAS  Google Scholar 

  20. Weiland AJ (1981) Current concepts review: vascularized free bone transplants. J Bone Joint Surg Am 63:166–169

    PubMed  CAS  Google Scholar 

  21. Weiland AJ, Moore JR, Daniel RK (1983) Vascularized bone autografts: experience with 41 cases. Clin Orthop 174:87–95

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, Uludag University Medical School, Bursa, Turkey

    Ufuk Aydinli & Onur Tirelioglu

  2. Department of Plastic Surgery, Uludag University Medical School, Bursa, Turkey

    Selçuk Akin

  3. Florence Nightingale Hospital, Abide-i Hürriyet Caddesi No: 290, 80220, Şişli, Istanbul, Turkey

    Cagatay Ozturk

  4. Department of Pathology, Uludag University Medical School, Bursa, Turkey

    Ulviye Yalcinkaya

  5. Department of Radiology, Uludag University Medical School, Bursa, Turkey

    Yurtkuran Sadikoglu

Authors
  1. Ufuk Aydinli
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  2. Selçuk Akin
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  3. Onur Tirelioglu
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  4. Cagatay Ozturk
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  5. Ulviye Yalcinkaya
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  6. Yurtkuran Sadikoglu
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Corresponding author

Correspondence to Cagatay Ozturk.

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Aydinli, U., Akin, S., Tirelioglu, O. et al. A new autogenous graft choice in pelvic reconstructions: free vascularized rib (a case report). Arch Orthop Trauma Surg 126, 57–62 (2006). https://doi.org/10.1007/s00402-005-0076-3

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  • DOI: https://doi.org/10.1007/s00402-005-0076-3

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