Fibula-Assisted Segment Transport (FAST) for Defect Reconstruction after Resection of Tibial Adamantinoma: Report of Two Treatments
Intramedullary limb lengthening via lengthening nails has been performed for more than three decades to overcome leg length inequalities. Plate-assisted bone segment transport (PABST) has recently been described for the reconstruction of segmental bone defects. We modified this procedure by using th...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/5563931 |
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| author | A. Rachbauer A. Laufer G. Gosheger G. Toporowski A. Frommer E. Jacob N. Deventer R. Roedl B. Vogt |
| author_facet | A. Rachbauer A. Laufer G. Gosheger G. Toporowski A. Frommer E. Jacob N. Deventer R. Roedl B. Vogt |
| author_sort | A. Rachbauer |
| collection | DOAJ |
| description | Intramedullary limb lengthening via lengthening nails has been performed for more than three decades to overcome leg length inequalities. Plate-assisted bone segment transport (PABST) has recently been described for the reconstruction of segmental bone defects. We modified this procedure by using the ipsilateral fibula as a “biological plate” and report on its technical particularities and application in the reconstructive treatment of adamantinomas of the tibia in two patients. Both patients were successfully treated by wide resection and reconstruction of the tibial bone via bone segment transport through an expandable intramedullary nail using the remaining ipsilateral fibula to provide stabilization and guidance. This procedure was titled “fibula-assisted segment transport” (FAST). This is a new and promising technique that allows an entirely biological reconstruction of large bone defects of the tibia. |
| format | Article |
| id | doaj-art-b993ffbca252494397dcc5f40ae493c8 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-b993ffbca252494397dcc5f40ae493c82025-02-03T00:58:51ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/55639315563931Fibula-Assisted Segment Transport (FAST) for Defect Reconstruction after Resection of Tibial Adamantinoma: Report of Two TreatmentsA. Rachbauer0A. Laufer1G. Gosheger2G. Toporowski3A. Frommer4E. Jacob5N. Deventer6R. Roedl7B. Vogt8Department of Children’s Orthopedics, Deformity Reconstruction and Foot Surgery, Muenster University Hospital, Muenster, GermanyDepartment of Children’s Orthopedics, Deformity Reconstruction and Foot Surgery, Muenster University Hospital, Muenster, GermanyDepartment of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, GermanyDepartment of Children’s Orthopedics, Deformity Reconstruction and Foot Surgery, Muenster University Hospital, Muenster, GermanyDepartment of Children’s Orthopedics, Deformity Reconstruction and Foot Surgery, Muenster University Hospital, Muenster, GermanyDepartment of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, GermanyDepartment of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, GermanyDepartment of Children’s Orthopedics, Deformity Reconstruction and Foot Surgery, Muenster University Hospital, Muenster, GermanyDepartment of Children’s Orthopedics, Deformity Reconstruction and Foot Surgery, Muenster University Hospital, Muenster, GermanyIntramedullary limb lengthening via lengthening nails has been performed for more than three decades to overcome leg length inequalities. Plate-assisted bone segment transport (PABST) has recently been described for the reconstruction of segmental bone defects. We modified this procedure by using the ipsilateral fibula as a “biological plate” and report on its technical particularities and application in the reconstructive treatment of adamantinomas of the tibia in two patients. Both patients were successfully treated by wide resection and reconstruction of the tibial bone via bone segment transport through an expandable intramedullary nail using the remaining ipsilateral fibula to provide stabilization and guidance. This procedure was titled “fibula-assisted segment transport” (FAST). This is a new and promising technique that allows an entirely biological reconstruction of large bone defects of the tibia.http://dx.doi.org/10.1155/2021/5563931 |
| spellingShingle | A. Rachbauer A. Laufer G. Gosheger G. Toporowski A. Frommer E. Jacob N. Deventer R. Roedl B. Vogt Fibula-Assisted Segment Transport (FAST) for Defect Reconstruction after Resection of Tibial Adamantinoma: Report of Two Treatments Case Reports in Orthopedics |
| title | Fibula-Assisted Segment Transport (FAST) for Defect Reconstruction after Resection of Tibial Adamantinoma: Report of Two Treatments |
| title_full | Fibula-Assisted Segment Transport (FAST) for Defect Reconstruction after Resection of Tibial Adamantinoma: Report of Two Treatments |
| title_fullStr | Fibula-Assisted Segment Transport (FAST) for Defect Reconstruction after Resection of Tibial Adamantinoma: Report of Two Treatments |
| title_full_unstemmed | Fibula-Assisted Segment Transport (FAST) for Defect Reconstruction after Resection of Tibial Adamantinoma: Report of Two Treatments |
| title_short | Fibula-Assisted Segment Transport (FAST) for Defect Reconstruction after Resection of Tibial Adamantinoma: Report of Two Treatments |
| title_sort | fibula assisted segment transport fast for defect reconstruction after resection of tibial adamantinoma report of two treatments |
| url | http://dx.doi.org/10.1155/2021/5563931 |
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