Restoration of the Active Forearm Rotation Using Vascularized Free Fibular Graft and Radial Head Arthroplasty for a Wide Defect of the Proximal Radius.

Abstract

In this report we present a case of re-stabilization of the proximal radius using vascularized free fibular graft combined with anconeus arthroplasty to stabilize the transplanted fibula in a patient with large loss of the proximal radius due to Ewing's sarcoma. A 20-year-old woman had Ewing's sarcoma in the proximal three-fourths of the radius. The resection of large part of the radius containing radial head were necessary for removal of the sarcoma. Reconstruction of the proximal radius was performed using vascularized free fibular graft and the transplanted fibula was stabilized by attaching the anconeus to the proximal edge of the fibula. 2 years after surgery, she had neither recurrence nor metastasis, and achieved functional recovery. The combination anconeus arthroplasty with vascularized free fibular graft can be a good technique for re-stabilization of the elbow and recovery of the forearm function.

• Authors: Ryosuke Sato, Yoshitaka Hamada, Naohito Hibino, Toshihiko Nishisho, Ichiro Tonogai, Kenji Endo, Koichi Sairyo
• Journal: The journal of hand surgery Asian-Pacific volume (J Hand Surg Asian Pac Vol) Vol. 22 Issue 4 Pg. 531-534 (Dec 2017) ISSN: 2424-8363 [Electronic] Singapore
• PMID: 29117845 (Publication Type: Case Reports, Journal Article)

Topics

• Arthroplasty (methods)
• Bone Neoplasms (diagnosis, surgery)
• Bone Transplantation (methods)
• Elbow Joint (diagnostic imaging, surgery)
• Female
• Fibula (transplantation)
• Forearm (physiopathology)
• Free Tissue Flaps (blood supply)
• Humans
• Radius (surgery)
• Range of Motion, Articular
• Recovery of Function
• Young Adult