More than 20-year Follow-Up After Vascularised Fibula Head Graft for Oncological Shoulder Joint Reconstruction.

BACKGROUND

In our Department, the vascularized fibula head has been the preferred option for proximal humerus reconstruction for approximately 30 years. The purpose of the present study was to analyze the long-term functional outcome for oncological shoulder reconstruction.

PATIENTS AND

METHODS

The vascularized fibula head was transferred in 3 patients; 2 with giant cell tumor and 1 with low-grade chondrosarcoma. Functional results were evaluated using the rating system of the Musculoskeletal Tumor Society. We obtained information by means of a telephone questionnaire in 1 patient and by direct examination in 2 patients. The mean follow-up period was 24 years and 4 months.

RESULTS AND

CONCLUSION

Absorption of the transferred fibula head was not observed in any of the examined patients. The mean overall functional rating was 75.6%. Results with regard to pain, positioning of the hand, and manual dexterity were more satisfactory than those of function and lifting ability. The present long-term study demonstrated that the reconstructed shoulder joint was clinically and radiologically maintained for more than 20 years after surgery.