Bone Reconstruction of the Humeral Shaft after Carcinologic Excision Using a Fibular Bone Graft. (A Case Report)
Published: 2021-08-26
Page: 227-234
Issue: 2021 - Volume 4 [Issue 1]
Z. F. Zengui *
Department of Traumatology and Orthopedics Wing 4, CH Ibn Rochd, Casablanca, Morocco.
M. Sennouni
Department of Traumatology and Orthopedics Wing 4, CH Ibn Rochd, Casablanca, Morocco.
M. Fargouch
Department of Traumatology and Orthopedics Wing 4, CH Ibn Rochd, Casablanca, Morocco.
Y. El Andaloussi
Department of Traumatology and Orthopedics Wing 4, CH Ibn Rochd, Casablanca, Morocco.
A. R. Haddoun
Department of Traumatology and Orthopedics Wing 4, CH Ibn Rochd, Casablanca, Morocco.
D. Bennouna, M. Fadili
Department of Traumatology and Orthopedics Wing 4, CH Ibn Rochd, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
The free fibular bone graft constitutes one of the surgical options in the filling of the loss of bone substances after tumor resection on long bones in young patients followed for cancer with single or multiple metastasis. The lack of vascular supply of fibular grafts could be one of the non-union factors that characterize the failures observed after their placement in bone reconstructions of more than 6 cm. We report in our observation the limits of the non-vascularized fibular bone graft after excision and bone reconstruction of a loss of substance in the treatment of a pathological fracture of the humerus in a 47-year-old patient followed for mammary carcinoma; and also insisting on the urgent need to perform a biopsy for any lesions suspected of metastasis in a patient followed for cancer so as not to overlook a benign or malignant tumor which may turn out to be more aggressive than the known tumor.
Keywords: Bone reconstruction, fibular, bone metastases, bone scintigraphy