Case ReportVascularized fibular graft as a surgical option for osteosarcoma of distal humerus: A case report

- This is an unsual case of osteosarcoma of distal humerus.
- It is not only a rare case but also an interesting surgical management.
- Limb salvage surgery which consists of wide excision, followed by reconstruction with vascularized fibular graft and interpositional elbow arthroplasty is a good option.

IntroductionDistal humerus is a very rare predilection site of osteosarcoma. Limb salvage surgery has widely replaced amputation for surgical treatment of most types of malignant bone sarcomas.Presentation of caseWe presented a 42 years old male with rapidly growing osteosarcoma on his right distal humerus. After induction chemotherapy, wide excision and reconstruction using free vascularized fibular graft followed with interpositional elbow arthroplasty technique was done.DiscussionOne of the option for surgical treatment for distal humerus osteosarcoma is limb salvage sugery with free vascularized fibular graft technique. Good functional outcome and no signs of local recurrence were found during 2,5 years follow up.ConclusionFree vascularized fibular graft with interpositional elbow arthroplasty is a good option for management of bone sarcoma of distal humerus.