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Case Reports in Orthopedics
Volume 2015 (2015), Article ID 404979, 5 pages
http://dx.doi.org/10.1155/2015/404979
Case Report

Saving a Child’s Elbow Joint: A Novel Reconstruction for a Tumour of the Distal Humerus

1Department of Orthopedics and Traumatology, University Hospital “Agostino Gemelli”, School of Medicine, Catholic University of the Sacred Heart, Largo A. Gemelli 1, 00168 Rome, Italy
2Department of Musculoskeletal Oncology, The Royal Orthopaedic Hospital, Birmingham B31 2AP, UK
3Department of Orthopaedics and Traumatology, ISMU Göztepe Education and Research Hospital, Faculty of Medicine, Istanbul Medeniyet University, 34732 Istanbul, Turkey

Received 11 November 2014; Accepted 22 December 2014

Academic Editor: Kaan Erler

Copyright © 2015 Calogero Graci et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Reconstruction after wide resection of a malignant bone tumor can be obtained using several techniques such as the use of prostheses, allograft, autograft, or combined procedure. We describe a 12-year-old girl with parosteal osteosarcoma of the distal right humerus treated by en bloc resection, intraoperative extracorporeal irradiation, and implantation. We inserted a nonvascularised fibular autograft through the middle of irradiated graft to obtain a greater stability. We have not recorded any complication associated with this technique such as nonunion, pathological fracture, infection, and bone necrosis and we obtained an excellent functional result. 10 years after surgery, the patient had no recurrence. Extracorporeal irradiation and reimplantation is a valid and inexpensive technique for the treatment of bone tumors when there is reasonable residual bone stock. With this procedure we have a precise fit being the patient’s own bone. In this way we avoid all the problems related to the adaptation of the shape and size.