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Volume 3, Issue 4 (November Issue)

Free Vascularized Fibular Graft: The Solution for a Return to Elite Volleyball After Humeral Ewing Sarcoma

Paula Vieira1*, João Lixa1 and Sérgio Teixeira2, Joana Costa2, Bernardo Nunes1 and Filipe Duarte1

1Department of Orthopedics and Traumatology, São João University Hospital Center, Porto, Portugal
2Department of Plastic and Reconstructive Surgery, São João University Hospital Center, Porto, Portugal

*Corresponding author: Paula Vieira, Department of Orthopedics and Traumatology, São João University Hospital Center, Porto, Portugal.
E-mail: paula.mpv@gmail.com

Received: September 25, 2024; Accepted: October 13, 2024; Published: November 15, 2024.

Citation: Vieira P, Lixa J, Teixeira S, et al. Free Vascularized Fibular Graft: The Solution for a Return to Elite Volleyball After Humeral Ewing’s Sarcoma. Case Rep Orthop Surg J. 2024; 3(4): 140.

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Free Vascularized Fibular Graft: The Solution for a Return to Elite Volleyball After Humeral Ewing Sarcoma
Abstract

Case: A 13-year-old girl, volleyball player, presented with right arm pain after minor trauma. She was diagnosed with Ewing’s Sarcoma of the proximal humeral shaft. An en bloc resection and reconstruction were performed using a free vascularized fibular graft and carbon-fiber plate. She returned to sports activity at 12-months postoperative, achieving complete functional recovery. At 5-years follow-up, she is a junior volleyball athlete, with no signs of tumor recurrence.
Conclusion: Free vascularized fibular autograft is a viable option to reconstruct large bone defects after tumor resection of the upper extremity in young athletes. Complete return-to-practice may be achieved, even in high-demand sports.

Keywords: Ewing’s Sarcoma; Humerus sarcoma; En bloc resection; Free vascularized fibular graft; Carbon-fiber plate

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