Chondroblastic osteosarcoma of proximal fibula

Siddiqui, Yasir Salam; VP, Pathania; Mendiratta, Manisha; Rahman, Nusra

doi:10.5530/ogh.2012.1.10

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Siddiqui et al ( 16 ) demonstrated that, following resection of the proximal fibula chondroblastic osteosarcoma, the knee function remained stable, although there was no attempt to reconstruct the lateral soft tissue structures.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of lateral knee joint stability following resection of proximal fibula tumors

Zhao

Zhang

2013

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

Managing tumors of the proximal fibula may require en bloc resection of the fibular head with the attachment site of the lateral collateral ligament (LCL) and biceps femoris tendon. The aim of the present study was to evaluate knee stability and the Musculoskeletal Tumor Society (MSTS) functional score of patients with proximal fibula tumors. Twenty-nine patients with proximal fibula tumors were retrospectively reviewed (18 patients in the reconstruction group and 11 patients in the non-reconstruction group). A comparative analysis was conducted of knee stability (measuring the degree of lateral joint space opening using varus stress radiographs with a 30º knee flexion) and MSTS functional score between the two groups. The mean follow-up period was 42.8±20.9 months (range 24–117) and 40.8±26.0 months (range 24–117) for the reconstruction and the non-reconstruction groups, respectively. Fifteen patients (83.3%) in the reconstruction group had a stable knee, one (5.6%) had grade 1 instability and two (11.1%) had grade 2 instability. Four patients (36.4%) in the non-reconstruction group had a stable knee, three (27.3%) had grade 1 instability, one (9.1%) had grade 2 instability and three (27.3%) had grade 3 instability. Patients who underwent reconstructive surgery exhibited a higher rate of knee stability compared with those in the non-reconstruction group (P<0.05). The MSTS function scores were 93% (range, 93–100%) for the reconstruction group and 87% (range, 60–100%) for the non-reconstruction group (P<0.05). Reconstruction of the LCL and biceps femoris tendon to the lateral tibial metaphysis with a suture anchor was a safe, reliable and simple technique following resection of proximal fibula tumors.

show abstract

Section: Discussionmentioning

confidence: 99%

Reconstruction of lateral knee joint stability following resection of proximal fibula tumors

Zhao

Zhang

2013

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

show abstract

“…8 Some authors advocate that the knee remains functionally stable after resection of the proximal fibula because the other knee stabilizers are intact and reconstruction of the LCL is not necessary. 10,21 Remaining LCL and biceps femoris stumps may be attached to lateral metaphyseal site of tibia or repaired to surrounding capsular and ligamentous structures. 8,18 The best method for reattachment is not known.…”

Section: Discussionmentioning

confidence: 99%

Clinical and radiologic outcomes following resection of primary proximal fibula tumors: Proximal fibula resection outcomes

Arıkan

Mısır

Gur

et al. 2019

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

Reconstruction of the lateral collateral ligament (LCL) and biceps femoris tendon following proximal fibula resection is controversial. Postoperative knee instability and peroneal nerve dysfunction affect outcome. This study aimed to determine functional, clinical, and radiological outcomes of patients who underwent en bloc proximal fibula resections and to compare clinical and radiological instability rates for primary repair after type I and type II resections. Materials and Methods: Eleven patients with primary tumors of the proximal fibula were included. Musculoskeletal Tumor Society (MSTS) score and Lysholm knee score were used in the evaluation of functional outcomes. Clinical outcome was assessed using knee range of motion and knee varus stress test. Radiological outcome was assessed using varus stress knee radiographs. Knee stability was evaluated using the varus stress test at 30 of knee flexion and varus stress knee radiographs and graded in millimeters. Results: Of the 11 tumors, 6 (54.6%) underwent type I resection. In five (45.4%) patients, type II resection was performed. The mean follow-up period was 32 + 13.9 months (range, 12-55 months; median, 27 months). The mean knee joint lateral opening, MSTS score, and Lysholm knee score with type I versus type II resection were 5.7 + 1.2 mm versus 6.4 + 1.1 mm (p ¼ 0.247), 28.7 + 1.8 (95.6%) versus 20.4 + 7.7 (68%) (p ¼ 0.011), and 92.2 + 8.8 versus 62.8 + 20.4 (p ¼ 0.026), respectively. Postoperative complications of all patients included one (9.1%) deep tissue infection and one (9.1%) long-term knee instability. In one patient (9.1%) who underwent type II resection, above-the-knee amputation was performed after local recurrence. Conclusions: Primary repair of the LCL and biceps femoris tendon to the surrounding soft tissues after resection of proximal fibular tumors provides good clinical outcomes. Primary repair is a simple technique to perform with minimal morbidity. Peroneal nerve palsy was a problem, especially in type II resections.

show abstract

Chondroblastic osteosarcoma of proximal fibula

Cited by 2 publications

References 0 publications

Reconstruction of lateral knee joint stability following resection of proximal fibula tumors

Reconstruction of lateral knee joint stability following resection of proximal fibula tumors

Clinical and radiologic outcomes following resection of primary proximal fibula tumors: Proximal fibula resection outcomes

Contact Info

Product

Resources

About