Intraoperative difficulties during management of proximal fibular tumors: A case series
Proximal fibular tumors are treated by en bloc excision and lateral collateral ligament (LCL) repair. Intraoperative injury to the popliteal artery or its trifurcation, common peroneal nerve, and LCL can occur. Three cases of giant cell tumor and one case of exostosis of proximal fibula were analyze...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | http://www.jotr.in/article.asp?issn=0975-7341;year=2021;volume=13;issue=2;spage=158;epage=162;aulast=Subhash |
| _version_ | 1798033768934539264 |
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| author | Abhijeet Subhash Nishant Kashyap Ritesh Runu Mantu Jain |
| author_facet | Abhijeet Subhash Nishant Kashyap Ritesh Runu Mantu Jain |
| author_sort | Abhijeet Subhash |
| collection | DOAJ |
| description | Proximal fibular tumors are treated by en bloc excision and lateral collateral ligament (LCL) repair. Intraoperative injury to the popliteal artery or its trifurcation, common peroneal nerve, and LCL can occur. Three cases of giant cell tumor and one case of exostosis of proximal fibula were analyzed. Apart from routine tests, preoperative computed tomography angiography (CTA) was done in two cases. Vascular injury was seen in two cases where CTA was not done, while in others, it was safe. Foot drop was seen in one case due to peroneal nerve resection. None of the patients developed varus instability even without LCL repair. Authors suggest preoperative CTA in all tumors of proximal fibula for preoperative planning, counseling of patients, vascular consultation, and to prevent complications. |
| first_indexed | 2024-04-11T20:35:06Z |
| format | Article |
| id | doaj.art-559462fee27e4419883a4af3eb441a8b |
| institution | Directory Open Access Journal |
| issn | 0975-7341 |
| language | English |
| last_indexed | 2024-04-11T20:35:06Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopedics, Traumatology and Rehabilitation |
| spelling | doaj.art-559462fee27e4419883a4af3eb441a8b2022-12-22T04:04:24ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412021-01-0113215816210.4103/jotr.jotr_78_20Intraoperative difficulties during management of proximal fibular tumors: A case seriesAbhijeet SubhashNishant KashyapRitesh RunuMantu JainProximal fibular tumors are treated by en bloc excision and lateral collateral ligament (LCL) repair. Intraoperative injury to the popliteal artery or its trifurcation, common peroneal nerve, and LCL can occur. Three cases of giant cell tumor and one case of exostosis of proximal fibula were analyzed. Apart from routine tests, preoperative computed tomography angiography (CTA) was done in two cases. Vascular injury was seen in two cases where CTA was not done, while in others, it was safe. Foot drop was seen in one case due to peroneal nerve resection. None of the patients developed varus instability even without LCL repair. Authors suggest preoperative CTA in all tumors of proximal fibula for preoperative planning, counseling of patients, vascular consultation, and to prevent complications.http://www.jotr.in/article.asp?issn=0975-7341;year=2021;volume=13;issue=2;spage=158;epage=162;aulast=Subhashcomputed tomography angiographyexostosisgiant cell tumorpopliteal arteryproximal fibula |
| spellingShingle | Abhijeet Subhash Nishant Kashyap Ritesh Runu Mantu Jain Intraoperative difficulties during management of proximal fibular tumors: A case series Journal of Orthopedics, Traumatology and Rehabilitation computed tomography angiography exostosis giant cell tumor popliteal artery proximal fibula |
| title | Intraoperative difficulties during management of proximal fibular tumors: A case series |
| title_full | Intraoperative difficulties during management of proximal fibular tumors: A case series |
| title_fullStr | Intraoperative difficulties during management of proximal fibular tumors: A case series |
| title_full_unstemmed | Intraoperative difficulties during management of proximal fibular tumors: A case series |
| title_short | Intraoperative difficulties during management of proximal fibular tumors: A case series |
| title_sort | intraoperative difficulties during management of proximal fibular tumors a case series |
| topic | computed tomography angiography exostosis giant cell tumor popliteal artery proximal fibula |
| url | http://www.jotr.in/article.asp?issn=0975-7341;year=2021;volume=13;issue=2;spage=158;epage=162;aulast=Subhash |
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