Abstract
High survival rate obtained in the treatment of osteogenic sarcoma resulted in substitution of organ-removing operations to organ-saving ones. Methods of total joint replacement used in adult practice can not be so widely applied in paediatric practice due to incompleteness of skeleton growth in children. The solution of the problem is the methods of autoplasty using the fibula including free transplantation, transposition of fibula with nutritional tissue mass and plasty by vascularized graft. Fibula autoplasty is efficient in application with the complex of antineoplastic chemotherapy and postoperative management of patients as well as the treatment of possible complications. This is confirmed by the data of examination of 91 patients with osteogenic sarcoma, aged 415, who were treated at Oncology Department of the Russian Paediatric Clinical Hospital in the period from 1987 to 1998.
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