%0 Journal Article
%T Reconstru£¿£¿o de extremidades com retalho livre de f¨ªbula ap¨®s ressec£¿£¿es oncol¨®gicas
%A Machado
%A Eduardo Ravasio
%A Portinho
%A Ciro Paz
%A Vasconcelos
%A Roberto Andr¨¦ Torres de
%A Meohas
%A Walter
%A Sbalchiero
%A Juliano Carlos
%A Leal
%A Paulo Roberto de Albuquerque
%J Revista Brasileira de Cirurgia Pl¨¢stica
%D 2012
%I Sociedade Brasileira de Cirurgia Pl¨¢stica
%R 10.1590/S1983-51752012000300023
%X background: primary tumors of the long bones are rare, accounting for 0.2-1% of malignant tumors. in the past, amputation was the standard treatment and had a large impact on patient morbidity and mortality. with advances in surgical techniques and multidisciplinary involvement, conservative surgery of the limbs has become the treatment of choice, and reconstruction using a microsurgical fibula flap is the most commonly used technique. in this study, we aimed to present the experience of the national cancer institute (inca) with limb reconstruction using a microsurgical fibula flap following tumor resection from the long bones. methods: we retrospectively analyzed 7 cases of free fibular flap surgery at the inca from 1997 to 2009 for the reconstruction of defects of the extremities after bone tumor resection. we evaluated the following parameters: gender, age, diagnosis, tumor location, resection size and type, reconstruction size and type, vessels used for the anastomosis, postoperative complications, disease status at the last visit, follow-up, and time to ambulation. results: seven patients with a mean age of 11.8 years (range, 5-14 years) underwent extremity reconstruction with a free fibula flap with 100% bone viability. the lesions were located within the femur, tibia, or humerus. osteosarcoma was the most common tumor type. the average return to ambulation was 14.7 months. conclusions: the use of a free fibula flap is an excellent alternative for limb reconstruction and features a high bone healing rate, early ambulation, good functionality, and a low complication rate.
%K fibula
%K extremities
%K transplantation
%K homologous
%K reconstructive surgical procedures.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1983-51752012000300023&lng=en&nrm=iso&tlng=en