Vascularized fibular graft and anconeus interposition arthroplasty in a case of recurrent aggressive aneurysmal bone cyst of proximal radius: A case report
Introduction: Large aggressive tumors need wide resection and reconstructions. The choice of reconstruction of the defects is limited in pediatric population. Vascular fibula offers a promising graft in these cases. Biological interpositional arthroplasty with the use of local muscle (anconeus) is a...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Journal of Orthopaedic Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X23000152 |
| _version_ | 1797842467316301824 |
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| author | Anil Regmi Sunit Vardhan Akshay Kapoor Bishwa Bandhu Niraula Shivam Bansal Mohit Dhingra |
| author_facet | Anil Regmi Sunit Vardhan Akshay Kapoor Bishwa Bandhu Niraula Shivam Bansal Mohit Dhingra |
| author_sort | Anil Regmi |
| collection | DOAJ |
| description | Introduction: Large aggressive tumors need wide resection and reconstructions. The choice of reconstruction of the defects is limited in pediatric population. Vascular fibula offers a promising graft in these cases. Biological interpositional arthroplasty with the use of local muscle (anconeus) is a promising approach to achieve acceptable range of movement of elbow and forearm. Case presentation: A ten-year-old male child with recurrent ABC of the left proximal radius had undergone en bloc tumor resection, and reconstruction by vascularized fibular grafting and proximal radio-ulnar joint reconstructed with anconeus interposition arthroplasty, showed good clinical results and excellent radiographic results according to the Tang system at 6 month follow-up. Discussion and conclusion: Reconstruction of the resected long bone segment by vascularized fibular graft and Anconeus interposition arthroplasty to reconstruct the radial head in a fibular graft is a convenient alternative to prostheses. Level of evidence: V. |
| first_indexed | 2024-04-09T16:48:22Z |
| format | Article |
| id | doaj.art-d09d438b218e4670a1e43b892b82f5ec |
| institution | Directory Open Access Journal |
| issn | 2773-157X |
| language | English |
| last_indexed | 2024-04-09T16:48:22Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj.art-d09d438b218e4670a1e43b892b82f5ec2023-04-22T06:24:37ZengElsevierJournal of Orthopaedic Reports2773-157X2023-06-0122100143Vascularized fibular graft and anconeus interposition arthroplasty in a case of recurrent aggressive aneurysmal bone cyst of proximal radius: A case reportAnil Regmi0Sunit Vardhan1Akshay Kapoor2Bishwa Bandhu Niraula3Shivam Bansal4Mohit Dhingra5Department of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, IndiaDepartment of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, IndiaDepartment of Burn and Plastic Surgery, AIIMS, Rishikesh, Uttarakhand, 249203, IndiaDepartment of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, IndiaDepartment of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, IndiaDepartment of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, India; Corresponding author.Introduction: Large aggressive tumors need wide resection and reconstructions. The choice of reconstruction of the defects is limited in pediatric population. Vascular fibula offers a promising graft in these cases. Biological interpositional arthroplasty with the use of local muscle (anconeus) is a promising approach to achieve acceptable range of movement of elbow and forearm. Case presentation: A ten-year-old male child with recurrent ABC of the left proximal radius had undergone en bloc tumor resection, and reconstruction by vascularized fibular grafting and proximal radio-ulnar joint reconstructed with anconeus interposition arthroplasty, showed good clinical results and excellent radiographic results according to the Tang system at 6 month follow-up. Discussion and conclusion: Reconstruction of the resected long bone segment by vascularized fibular graft and Anconeus interposition arthroplasty to reconstruct the radial head in a fibular graft is a convenient alternative to prostheses. Level of evidence: V.http://www.sciencedirect.com/science/article/pii/S2773157X23000152Aneurysmal bone cystVascularized fibular graftAnconeus interposition arthroplastyLimb salvage surgeryReconstructive surgeryCase report |
| spellingShingle | Anil Regmi Sunit Vardhan Akshay Kapoor Bishwa Bandhu Niraula Shivam Bansal Mohit Dhingra Vascularized fibular graft and anconeus interposition arthroplasty in a case of recurrent aggressive aneurysmal bone cyst of proximal radius: A case report Journal of Orthopaedic Reports Aneurysmal bone cyst Vascularized fibular graft Anconeus interposition arthroplasty Limb salvage surgery Reconstructive surgery Case report |
| title | Vascularized fibular graft and anconeus interposition arthroplasty in a case of recurrent aggressive aneurysmal bone cyst of proximal radius: A case report |
| title_full | Vascularized fibular graft and anconeus interposition arthroplasty in a case of recurrent aggressive aneurysmal bone cyst of proximal radius: A case report |
| title_fullStr | Vascularized fibular graft and anconeus interposition arthroplasty in a case of recurrent aggressive aneurysmal bone cyst of proximal radius: A case report |
| title_full_unstemmed | Vascularized fibular graft and anconeus interposition arthroplasty in a case of recurrent aggressive aneurysmal bone cyst of proximal radius: A case report |
| title_short | Vascularized fibular graft and anconeus interposition arthroplasty in a case of recurrent aggressive aneurysmal bone cyst of proximal radius: A case report |
| title_sort | vascularized fibular graft and anconeus interposition arthroplasty in a case of recurrent aggressive aneurysmal bone cyst of proximal radius a case report |
| topic | Aneurysmal bone cyst Vascularized fibular graft Anconeus interposition arthroplasty Limb salvage surgery Reconstructive surgery Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X23000152 |
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