Limb salvage for malignant bone tumours of distal tibia with dual ipsilateral vascularized autogenous fibular graft in a trapezoid-shaped array with ankle arthrodesis and preserving subtalar joint

Malignant bone tumours of the distal tibia are rare [1]. Amputation has been the historical standard surgical treatment for malignant tumours in this location [2 –5]. Despite the fact that functional scores of patients with below-knee amputation are good, an increasing number of patients refuse amputation for psychological and social reasons [4]. When limb-sparing surgery is performed, various methods are available, such as endoprosthetic replacement, allo grafts, allograft combined with vascularized bone graft, reimplantation of sterilized autologous bone, or vascularized fibular graft (either free or pedicled) for distal defects [6–14].
Source: Foot and Ankle Surgery - Category: Orthopaedics Authors: Source Type: research