Adamantinoma of the Tibial Shaft Treated with Intercalary Reconstruction Using Ipsilateral Pedicled Vascularized Fibular Graft and Screw Fixation
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Abstract
Adamantinoma is a rare primary bone tumor, typically affecting the tibia. While traditionally treated with amputation, limb salvage techniques have become the preferred approach, preserving extremity function. This article reports on a 52-year-old female with a growing mass on her left tibia, confirmed as adamantinoma through biopsy. The patient underwent wide resection of a 16 cm tibial segment and reconstruction using an ipsilateral pedicled vascularized fibular graft. The graft was secured with only one cortical screw each proximally and distally, and the medial gastrocnemius muscle was used to cover the graft. A long leg cast was then applied. We demonstrate a successful strategy for treating adamantinoma, focusing on achieving functional recovery and long-term tumor control.
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References
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