Reconstructive surgery after distal fibular resection due to bone tumors: a technical report on surgical strategies and results from the PROSPERO international register of systematic reviews.
Andrea AngeliniIvan BohacekMihovil PleckoCarlo BizGiulia TrovarelliMariachiara CerchiaroGiuseppe Di RubboPietro RuggieriPublished in: EFORT open reviews (2024)
Limb salvage surgery should be followed by reconstruction in order to avoid complications. Soft tissue reconstructions should always be considered to stabilize the joint after fibular resection. Bone reconstruction with reversed vascularized fibula is the preferred technique in young patients and in cases of bone defects more than 3 cm, while arthrodesis should be considered in adult patients. Whenever possible for oncologic reason, if a residual peroneal malleolus could be preserved, we prefer augmentation with a sliding ipsilateral fibular graft.
Keyphrases
- soft tissue
- minimally invasive
- bone mineral density
- end stage renal disease
- coronary artery bypass
- chronic kidney disease
- systematic review
- newly diagnosed
- ejection fraction
- bone loss
- bone regeneration
- prognostic factors
- risk factors
- robot assisted
- surgical site infection
- peritoneal dialysis
- rectal cancer
- magnetic resonance imaging
- postmenopausal women
- computed tomography
- coronary artery disease
- middle aged
- image quality