Desmoplastic fibroma of ulna: Excision and reconstruction of olecranon with a fibular graft

Goyal, Tarun; Rastogi, Shishir; Trıpathy, Sujit Kumar

doi:10.4103/0019-5413.108928

Cited by 10 publications

(14 citation statements)

References 10 publications

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“…Both the patients from the above-mentioned studies are now free of pain. Goyal et al [ 12 ] reported a large DF in the right ulna of a 15-year-old male. The tumor was excised with a wide margin, and the bony defect was reconstructed with nonvascular autologous fibular graft.…”

Section: Discussionmentioning

confidence: 99%

Massive rare desmoplastic fibroma of the ilium and ischium in a young adult

Qiang²,

Liu

et al. 2017

Medicine

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Rationale:Desmoplastic fibroma (DF) is a rare, locally invasive but benign bone tumor. It represents one of the rarest bone diseases, with an incidence of only 0.11% of all primary bone tumors.Patient concerns:Herein, a case of massive and unusual DF, with simultaneous involvement of ilium and ischium, is described. A 29-year-old man suffered minor pain in his right hip for 2 years. It worsened after sudden movements, which prevented him from walking normally. Physical examination showed a limitation when the right hip was flexed and a percussion pain on the hip region. A medical imaging examination showed that the right ilium and ischium had a massive bone lesion. The top of acetabular had very little bone left and a fracture was likely at any time. No prominent body weight loss was noted, because there was no extensive invasion to the adjacent soft tissue.Diagnoses:DF of the Ilium and Ischium.Interventions:The patient underwent a surgery involving curettage and grafting to maintain the stability of the pelvis.Outcomes:The definitive pathological diagnosis was DF, without evidence of malignancy. The postoperative recovery course at 3-month follow-up was uneventful.Lessons:To the authors’ knowledge, such a massive DF involving both ilium and ischium has been rarely reported. Young patients require appropriate and timely treatment modalities.

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Section: Discussionmentioning

confidence: 99%

Massive rare desmoplastic fibroma of the ilium and ischium in a young adult

Qiang²,

Liu

et al. 2017

Medicine

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“…Although there have been reports of osteochondroma primary giant cell tumors and Ewing's sarcoma of the ulna. Salvaging the limb following an ulnar tumor resection poses a complex reconstructive challenge [8][9][10][11] options include resection arthroplasty, arthrodesis, resection-replantation [12], autografts [13,14], allografts [15], endoprostheses and radius neck-to-humerus trochlea transposition. Windrager and et al Recommend resection-replantation, in wich the tumor-bearing area is resected as a cylindrical segment and the distal arm is replanted with shortening [12].…”

Section: Discussionmentioning

confidence: 99%

A New Biological Technique of Elbow Reconstruction Following an Extensive Tumoral Resection of the Proximal Ulna

Sboui¹,

Jlalia²,

Riahi³

et al. 2017

Med Case Rep

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The resection of malignant tumors often poses the challenge of reconstruction. The objective of this reconstruction is the restoration of a function. We present the case of a chondroblastic osteosarcoma of the ulna in a 27-year-old patient. The resection sacrificed part of the ulna. The conservation of part of the olecrane allowed an innovative reconstruction to be carried out by bringing the radial head into contact with the humeral trochlea. The preservation of elbow function was satisfactory.

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“…Malignant and aggressive tumors located within the ulna are relatively rare, although there have been reports of osteosarcoma, primary giant cell tumors and Ewing's sarcoma of the ulna. Salvaging the limb following an ulnar tumor resection poses a complex, reconstructive challenge ( 6 , 7 , 9 – 11 ). Various options have been reported for the reconstruction of the elbow joint following ulnar tumor resections, such as radius neck-to-humerus trochlea transposition, endoprosthetic reconstruction, allografts, vascularized fibular grafts and extracorporeal irradiation ( 6 , 7 , 9 , 10 ).…”

Section: Discussionmentioning

confidence: 99%

“…Preservation of the proximal half of the olecranon during excision has been performed for the treatment of proximal ulna tumors. Goyal et al ( 11 ) reported a case of a desmoplastic fibroma of the proximal ulna that was treated with excision and reconstruction of the olecranon with a fibular graft. Bone-to-bone repair is often successful when a small region of the proximal olecranon may be preserved in continuity with the tendon insertion.…”

Section: Discussionmentioning

confidence: 99%

Ewing's sarcoma of the ulna treated with sub-total resection and reconstruction using a non-vascularized, autogenous fibular graft and hernia mesh: A case report

Lin

2015

Oncology Letters

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Ewing's sarcoma of the bone is the second most frequently occurring malignant bone tumor in children and adolescents. Ewing's sarcoma in the ulna are extremely rare. Thus, the surgical options for reconstruction of the elbow are limited and technically challenging. In the current study, a 29-year-old male with Ewing's sarcoma of the ulna was treated with a sub-total resection and reconstruction using a non-vascularized, autogenous fibular graft and hernia mesh. At the 2-year follow-up, the patient had returned to his previous occupation with no evidence of local recurrence or distant metastasis. The functional recovery was satisfactory, and the patient could perform active movement of the elbow from 0° to 135°, forearm pronation to 30°, supination to 85° and had full hand function. The grip power of the left hand was 36 kg, which was 86% of the contralateral side (42 kg).

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Desmoplastic fibroma of ulna: Excision and reconstruction of olecranon with a fibular graft

Cited by 10 publications

References 10 publications

Massive rare desmoplastic fibroma of the ilium and ischium in a young adult

Massive rare desmoplastic fibroma of the ilium and ischium in a young adult

A New Biological Technique of Elbow Reconstruction Following an Extensive Tumoral Resection of the Proximal Ulna

Ewing's sarcoma of the ulna treated with sub-total resection and reconstruction using a non-vascularized, autogenous fibular graft and hernia mesh: A case report

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