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Volume 8, Issue 2-3, Pages 97-102

Reconstruction With Ipsilateral Fibula Transfer With Pasteurized Bone After Excision of Bone Sarcoma of the Tibia

1Department of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Okayama 700-8558, Japan
2Department of Orthopaedic Surgery, National Cancer Center Hospital, Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

Copyright © 2004 Hindawi Publishing Corporation. 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.


We report a technique of implantation of the ipsilateral vascularized fibula with pasteurized recycled bone after excision of tibia sarcoma in two cases. Plate and screws were used for osteosynthesis of the tibia or talus, vascularized fibula, and pasteurized bone. Microsurgery is not necessary for this reconstruction technique. Two patients who underwent this technique have obtained good functional results without tumor relapse 5 and 6 years after operation. The technique produced excellent results with regard to tibial reconstruction in these cases. We found it to be simple, speedy, safe, and a low cost technique by use of recycled bone.