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CASE 3: Humeral Osteosarcoma
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A 14-year-old girl with a pathological fracture due to humeral osteosarcoma, who underwent external fixation and developed hand drop due to radial nerve damage, underwent extensive resection followed by reconstruction with vascularized fibula and triple tendon transfer after chemotherapy.
Before the surgery: The X-ray shows an irregular mass causing bone destruction in the mid-humerus region, along with the applied external fixator.
Before the surgery: CT scans show significant destruction, irregularities, and periosteal reaction, while PET scans reveal intensely increased activity.
Before the surgery: MRI shows tumor tissue pushing the vascular and nerve bundle, accompanied by a heterogeneous, large-sized soft tissue component that caused a pathological fracture in the bone at the same location.
During the Surgery: The incision line, the location of the radial nerve, and the space created after resection are visible.
During the Surgery: Clinical image of the removed tumor tissue and clinical image of the prepared vascularized fibula.
Post-Surgery: The X-ray shows a vascularized fibula and plaque fixation performed after resection.
