Clinical Study

Intercalary Reconstruction after Wide Resection of Malignant Bone Tumors of the Lower Extremity Using a Composite Graft with a Devitalized Autograft and a Vascularized Fibula

Table 3

Treatment, oncologic, and functional outcomes.

NumberTime to callus formation (months)Time to bone union (months)Postoperative complicationsAdditional surgery for complicationsGraft removal or amputationLocal recurrenceMetastasisOncologic outcomeFollow-up period (months)

137Graft displacement resulting from screw breakage (11 months)Reduction and refixationAmputation due to recurrenceYesLung, boneDOD44
2412NoneNoNoNoCDF131
3313NoneAmputation due to recurrenceYesNoNED129
41114NoneNoNoLungDOD39
5612Fracture (21 months)
Infection (32 months)
Reduction and refixation
Graft removal
Removal due to deep infectionNoNoCDF104
6410NoneNoNoNoCDF81
739NoneNoNoNoCDF75
8NANAInfection (2 months)Graft removal and external fixationRemoval due to deep infectionNoLungAWD56
9410 NoneNoNoLungAWD37
1038 NoneNoNoLungAWD31
1134 NoneNoNoNoCDF25