Orthopedics & Traumatology
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
A Case of Limb Saving by Free Auto-fibular Grafts in Ewing's Sarcoma
Go Maeda, Toshiaki Miyahara, Kazumasa Terada, Tatsuoki Mashima, Yukio Esaki, Kunichika Shin, Hiroya Ikari, Teiyu Izumi, Masatoshi Satomura, Go Katoh, Shihoko Mitsuyasu, Norio Shinohara, Koichiro Yokoyama
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Keywords: Ewing's sarcoma, Treatment, Fibular graft
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1999 Volume 48 Issue 4 Pages 1156-1159

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Abstract
We report a case of Ewing's sarcoma treated by free auto-fibular grafts. A 13-year-old girl experienced pain in her left leg. A plain radiograph showed thickened cortex over almost the entire tibia. The light microscopic features of a biopsy sample were those of a small round cell tumor. The patient received combined intensive multidrug chemotherapy before surgery. Local wide resection with reconstruction using a free auto-fibular bone graft and a intramedullary nail was performed. Plain radio-graph made one month after grafting showed fusion of the fibula. The patient was able to walk without any support in daily life 12 months after surgery.
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© West-Japanese Society of Orthopedics & Traumatology
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