 |
 |
 |
CASE 35: Tibia Osteosarcoma
- Hits: 39
Our 14-year-old male patient underwent extensive resection for osteosarcoma affecting almost the entire tibia, combined with liquid nitrogen recovery and vascularized fibula.
Before the surgery: X-ray shows irregularity, damage, and a sunburst-like periosteal reaction affecting almost the entire tibia.
Pre-operative examination: The MRI shows tumor tissue encompassing the entire tibia except for the upper epiphysis.
During the Surgery: Skin incision, proximal incision, and the cavity formed after tumor removal.
During Surgery: Removal of the tumorous portion of the tibia, image after liquid nitrogen administration, and view with vascularized fibula.
During the Surgery: The procedure shows the repositioning of the recovered tibia with a vascularized fibula, fixation with anatomical plates from above and below, suturing of the patellar tendon into place, and then rotation of the gastrocnemius flap.
Post-Surgery: The X-ray shows fixation of the proximal osteotomy line with an anatomical plate and arthrodesis of the ankle.
