Giant cell tumour 2nd metatarsal—Result with en-bloc excision and autologous fibular grafting

Chawla, S.K.; Agarwal, Saurabh; Agarwal, Puneet

doi:10.1016/j.foot.2015.07.008

Cited by 3 publications

(4 citation statements)

References 29 publications

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“…The above findings show that the nonvascularized fibular graft is promising to serve as a remediation technique after failure of vascularized fibular flap, which contributes to the successful restoration segmental mandibular defects and facial contours of patients. In fact, some studies report that bone defects are reconstructed by the non-vascularized iliac bone grafts, and most of these bone defects are derived from limb bones such as the poor healing of scaphoid fracture [15], ankle joint [16], discontinuous femoral neck fracture [17], and defect due to giant cell tumor in distal radius [18]. On the other hand, Jeong Fig.…”

Section: Discussionmentioning

confidence: 99%

Jaw reconstruction with vascularized fibular flap: The 11-year experience among 104 patients

Shao

Wang

et al. 2020

World J Surg Onc

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Background: A vascularized fibular osteomyocutaneous flap with severe vascular crisis often results in serious consequences. This study aims to examine the clinical effect of non-vascularized fibular graft on patients with severe vascular crisis after reconstruction of the defect jaw with vascularized fibular osteomyocutaneous flap. Materials and methods: From December 2007 to December 2018, a total of 104 patients with jaw neoplasms that underwent reconstruction with free vascularized fibular flap were retrospectively analyzed; seven of these cases had postoperative vascular crisis during mandibular reconstruction. Results: Of the seven cases with postoperative vascular crisis, the vascularized fibular flaps in three patients survived completely, thanks to early detection; two cases were completely necrotic and removed in the end, and the remaining two cases had severe vascular crisis after the removal of the soft tissue attached to the fibular flap. The non-vascular fibular grafts were retained regardless of the severe absorption after follow-ups for 25 and 69 months, respectively. Conclusions: If vascular crisis occurs following jaw reconstruction with a vascularized fibular osteomyocutaneous flap, early re-surgical exploration effectively improves the salvage rate. In addition, when a severe vascular crisis occurs, the vascularized fibular flap can be changed to a non-vascular fibular graft to reconstruct the mandibular defect, thus avoiding the serious consequences resulting from the complete failure of fibular graft.

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Section: Discussionmentioning

confidence: 99%

Jaw reconstruction with vascularized fibular flap: The 11-year experience among 104 patients

Shao

Wang

et al. 2020

World J Surg Onc

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“…Most of the bone defects reconstructed using NVFF transplantation are limb bones, such as poor healing of scaphoid fracture (9), ankle joint (10), discontinuous femoral neck fracture (11), and defect of giant cell tumor in distal radius (12). Jeong et al (10) successfully repaired one ankle joint with a 15 cm NVFF.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of mandibular defects using vascularized fibular osteomyocutaneous flap combined with nonvascularized fibular flap

Wang¹,

Zhu²,

Xu³

et al. 2019

Med Oral

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BackgroundThe height of single-layer fibular flap is not long enough to return to the ideal height of the mandible. While the double-layer vascularized fibular osteomyocutaneous flap(VFF) is more complicated in shaping and fixation, along with a longer operation time. The aim of this study was to investigate the clinical effect of VFF combined with nonvascularized fibular flap(NVFF) in the reconstruction of mandibular defect.Material and MethodsFrom September 2016 to June 2018, 15 patients with benign mandibular tumors underwent reconstruction with VFF and NVFF. SimPlant Pro ™ software (version 11.04) was used to simulate reconstruction of the mandible preoperatively.ResultsAll patients were followed up for 8-23 month, with an average of 11.7 months. 15 VFFs survived well. Among the 15 NVFFs, one was almost completely absorbed, two with partial absorption, and the remaining survived regardless of the small amount of absorption. The postoperative absorption of the whole fibula was 7.53±6.362%, a favorable facial contour and speech function were attained.ConclusionsThe VFF combined with NVFF to reconstruct the mandibular defect can restore the vertical height of the mandible and achieve satisfactory clinical results. Key words:Vascularized fibular osteomyocutaneous flap(VFF), Nonvascularized fibular flap(NVFF), Mandibular defect.

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“…The most common locations for GCTs are the distal femur, proximal tibia, and distal radius. GCTs of the foot and ankle region are rare and have been reported to account for 1‐6% of all GCTs, with the majority of cases occurring in the talus, calcaneus, and distal tibia . GCTs in the foot and ankle region tend to occur at younger age, present more aggressively with more bone destruction, and have a higher rate of recurrence .…”

Section: Benign Lesionsmentioning

confidence: 99%

“…GCTs of the foot are usually more aggressive, and the reported rate of recurrence in the foot and ankle region is around 30‐50% . Due to the aggressive nature of these lesions and the higher recurrence rate, many authors have described more aggressive wide resection techniques with bone graft reconstruction with good success rates . Detailed description of these procedures is beyond the scope of this review.…”

Section: Benign Lesionsmentioning

confidence: 99%

Cystic bone tumors of the foot and ankle

Reda

2018

Journal of Surgical Oncology

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Bone tumors are relatively rare in the foot and ankle region. Many of them present as cystic lesions on plain films. Due to the relative rarity of these lesions and the complex anatomy of the foot and ankle region, identification of such lesions is often delayed or they get misdiagnosed and mismanaged. This review discusses the most common cystic tumors of the foot and ankle including their radiographic features and principles of management.

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Giant cell tumour 2nd metatarsal—Result with en-bloc excision and autologous fibular grafting

Cited by 3 publications

References 29 publications

Jaw reconstruction with vascularized fibular flap: The 11-year experience among 104 patients

Jaw reconstruction with vascularized fibular flap: The 11-year experience among 104 patients

Reconstruction of mandibular defects using vascularized fibular osteomyocutaneous flap combined with nonvascularized fibular flap

Cystic bone tumors of the foot and ankle

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