Ewing's sarcoma: Original biological reconstruction of the hip in a 4-year-old girl

We resected the proximal femur in a 4-year-old child who had Ewing's sarcoma. We reconstructed her hip by an autotransplant of the ipsilateral proximal fibula with its vascular supply, inserted inside a massive bone allograft, and fixed to the residual femur by a plate. Serial postoperative imaging showed the progressive hypertrophy of the transplanted fibula, whose head displayed impressive tridimensional growth inside the acetabulum. 4 years after surgery, hip motility is 100º in flexion, 10º in extension, and 30º in abduction, and the patient's limb is weight bearing.

Manfrini M, Innocenti M, Ceruso M, Mercuri M, Original biological recostruction of the hip in a 4-year-old girl, Lancet 2003; 361: 140-42


Content updated 22/11/2010 - 14:58
Content edited by: Marco Manfrini, MD (marco.manfrini@ior.it)
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