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Distal Fibula Reconstruction in Primary Malignant Tumours

Department of Orthopaedics and Traumatology, Iuliu Hatieganu University of Medicine and Pharmacy, 400000 Cluj-Napoca, Romania
Department of Orthopaedics, Lenval University Children’s Hospital, 06200 Nice, France
Department of Orthopaedic Oncology, Istituto Ortopedico Rizzoli, 40136 Bologna, Italy
Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, 40126 Bologna, Italy
Department of Orthopaedics, IRCCS Azienda Ospedaliera Universitaria di Bologna, 40138 Bologna, Italy
Author to whom correspondence should be addressed.
Curr. Oncol. 2021, 28(5), 3463-3473;
Received: 11 August 2021 / Revised: 2 September 2021 / Accepted: 4 September 2021 / Published: 7 September 2021
(This article belongs to the Section Bone and Soft Tissue Oncology)
(1) Background: Restoration of ankle biomechanics after distal fibula (DF) resection in bone sarcomas can be performed with different techniques. We report the functional and oncological outcomes of a case series; (2) Methods: Ten patients (5 females and 5 males) with a mean age of 27 years (range 10–71) were retrospectively evaluated. Following the resection, different techniques were used to reconstruct the ankle: tibiotalar arthrodesis, residual lateral malleolus fixed to the tibia, non-vascularized or rotational vascularized fibula transposition and intercalary allograft. All complications were recorded, and the functional outcomes were evaluated; (3) Results: The mean follow-up time was 54 months (range, 13–116). Six patients were free of disease while four patients died of disease. All patients had a stable ankle and bone union, which was achieved after a mean of 9.4 months (range 3–20). The mean MSTS Score was 26.7 (range 21–30). Chronic ankle pain and peroneal external nerve palsy were observed. Patients underwent additional surgeries for deep infection and for equinus ankle deformity. No local recurrence was observed. Metastasis occurred in four patients after a mean of 14.7 months (range 2–34); (4) Conclusions: After DF resection, the restoration of ankle biomechanics gives acceptable functional results, but a larger series of patients with long-time follow-up are required to confirm the durability of the reconstruction. View Full-Text
Keywords: distal fibula; reconstruction; sarcoma distal fibula; reconstruction; sarcoma
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MDPI and ACS Style

Khal, A.A.; Zucchini, R.; Giannini, C.; Sambri, A.; Donati, D.M.; De Paolis, M. Distal Fibula Reconstruction in Primary Malignant Tumours. Curr. Oncol. 2021, 28, 3463-3473.

AMA Style

Khal AA, Zucchini R, Giannini C, Sambri A, Donati DM, De Paolis M. Distal Fibula Reconstruction in Primary Malignant Tumours. Current Oncology. 2021; 28(5):3463-3473.

Chicago/Turabian Style

Khal, Adyb A., Riccardo Zucchini, Claudio Giannini, Andrea Sambri, Davide M. Donati, and Massimiliano De Paolis. 2021. "Distal Fibula Reconstruction in Primary Malignant Tumours" Current Oncology 28, no. 5: 3463-3473.

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