RT Journal Article
SR Electronic
T1 More than 20-year Follow-Up After Vascularised Fibula Head Graft for Oncological Shoulder Joint Reconstruction
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 301
OP 305
VO 36
IS 1
A1 TADAHIKO KUBO
A1 TAISUKE FURUTA
A1 MITSUO OCHI
YR 2016
UL http://ar.iiarjournals.org/content/36/1/301.abstract
AB Background: In our Department, the vascularized fibula head has been the preferred option for proximal humerus reconstruction for approximately 30 years. The purpose of the present study was to analyze the long-term functional outcome for oncological shoulder reconstruction. Patients and Methods: The vascularized fibula head was transferred in 3 patients; 2 with giant cell tumor and 1 with low-grade chondrosarcoma. Functional results were evaluated using the rating system of the Musculoskeletal Tumor Society. We obtained information by means of a telephone questionnaire in 1 patient and by direct examination in 2 patients. The mean follow-up period was 24 years and 4 months. Results and Conclusion: Absorption of the transferred fibula head was not observed in any of the examined patients. The mean overall functional rating was 75.6%. Results with regard to pain, positioning of the hand, and manual dexterity were more satisfactory than those of function and lifting ability. The present long-term study demonstrated that the reconstructed shoulder joint was clinically and radiologically maintained for more than 20 years after surgery.