Michiyuki Hakozaki1,2, Ryoichi Kawakami3,4,5, Nobuyuki Sasaki3, Narihiro Toshiki3, Yoichi Kaneuchi3, Hitoshi Yamada3,6, Shinichi Konno3. 1. Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan paco@fmu.ac.jp. 2. Higashi-Shirakawa Orthopaedic Academy, Fukushima Medical University School of Medicine, Fukushima, Japan. 3. Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan. 4. Department of Traumatology and Reconstructive Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan. 5. Kawakami Orthopaedic Clinic, Fukushima, Japan. 6. Department of Musculoskeletal and Bone Metabolism, Fukushima Medical University School of Medicine, Fukushima, Japan.
Abstract
BACKGROUND: Bone reconstruction following a wide resection for a malignant musculoskeletal tumor remains challenging, especially for an intercalary defect following the resection of a metaphyseal lesion. CASE REPORT: Here, we describe a surgical procedure using the Masquelet technique for the biological reconstruction of a huge subtrochanteric bone defect following failed pasteurized autologous bone grafting for a conventional chondrosarcoma of the proximal femoral metaphysis with a subtrochanteric pathological fracture. The patient, a 43-year-old Japanese male, was able to walk without a cane or a brace at 15 months after the final operation (International Society of Limb Salvage score, 86.7%). CONCLUSION: This procedure should be considered as one of the reconstruction options following the wide resection of malignant bone tumors located in the metaphysis. Copyright
BACKGROUND: Bone reconstruction following a wide resection for a malignant musculoskeletal tumor remains challenging, especially for an intercalary defect following the resection of a metaphyseal lesion. CASE REPORT: Here, we describe a surgical procedure using the Masquelet technique for the biological reconstruction of a huge subtrochanteric bone defect following failed pasteurized autologous bone grafting for a conventional chondrosarcoma of the proximal femoral metaphysis with a subtrochanteric pathological fracture. The patient, a 43-year-old Japanese male, was able to walk without a cane or a brace at 15 months after the final operation (International Society of Limb Salvage score, 86.7%). CONCLUSION: This procedure should be considered as one of the reconstruction options following the wide resection of malignant bone tumors located in the metaphysis. Copyright