Abstract
This article describes a right forearm osteosarcoma reconstructed using a free vascularized fibular graft. A 16-year-old girl was admitted to the Fukuoka University Hospital in March 1993 with an 8-week history of pain and swelling of the right forearm. Roentgenography of the right forearm revealed sclerotic change with spiculation and an extended soft tissue mass in the distal region of the radius. The patient received combination chemotherapy with cyclophosphamide, adriamycin, parapulatin, and caffein. Because chemotherapy was clinically effecitive, the neoplasm was removed with a limb salvage operation and reconstruction carried out using a free vascularized fibular gragt. Five months after the operation, the grafted fibular bone fused with the remaining radius, and the function of the right elbow, foream, and wrist joint are excellent. Vascularized bone grafting may be useful for reconstruction of large bone defects in malignant tumors as well as in this case.
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