Tibialization of the fibula after medio-diaphyseal tibial tumor excision, about a case at the university teaching hospital of cocody in Abidjan

Abstract

We report the case of a 29-year-old man with an adamantinoma of the right tibia.A medio-tibial carcinological excision was performed.Filling the bone defect was not possible.Fibular tibialization was preferred instead, through a double inter-tibio-fibular graft placed upstream and downstream of the defect.An osteosynthesis of the tibia was performed using a screwed plate.The evolution was satisfactory with fibular hypertrophy after one year.Walking and joint ranges of motion were normal and painless.Large tibial bone defects severely compromise the functional prognosis of the limb.In tumor surgery, amputations are now replaced by limb-saving interventions using various techniques.The inter-tibio-fibular graft stands out among them.This method is an important option in developing countries where technical and human resources are limited.