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Clinical, Radiological and Surgical Pitfalls in Fibular Tumors
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Original Article
VOLUME: 49 ISSUE: 3
P: 170-176
2016

Clinical, Radiological and Surgical Pitfalls in Fibular Tumors

Acta Haematol Oncol Turc 2016;49(3):170-176
DOI: 10.5505/aot.2016.50251
Hasan Göçer
Alper Çıraklı
Halil Atmaca
Nevzat Dabak
1. Department of Orthopedic and Traumatology, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey
2. Orthopedic and Traumatology Clinic, Kayseri Research and Training Hospital, Kayseri, Turkey
3. Department of Orthopedic and Traumatology, Faculty of Medicine, Akdeniz University, Antalya, Turkey
4.
No information available.
No information available
Received Date: 2016-06-02T23:09:13
Accepted Date: 2016-12-14T14:22:50
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Abstract

INTRODUCTION

Although fibula based tumors are less common, they are important since a great number of them are local aggressive and malign. The purpose of this study is to evaluate the patients with fibula based tumors and to focus on pitfalls in diagnosis and treatment.

METHODS

36 patients who had been diagnosed with and treated for tumor involving fibula between May 2007 and June 2015 were examined retrospectively. The patients’ ages, genders and localizations were specified. Tumor’s radiologic features and histological type, type of resection and complications were analyzed.

RESULTS

20 of the patients were women, while 16 were men and the average age of the patients was 31.5 (6-74) years of age. Tumor was found in fibula 1/3 proximal zone of 26 patients, in fibula 1/3 middle zone of 6 patients and in fibula 1/3 distal zone of 4 patients. Histological, 23 were benign, 9 were malign and 4 were metastatic tumors. Intralesional curettage was performed on 19 patients, wide resection was performed on 15 patients and amputation was performed on 2.

DISCUSSION AND CONCLUSION

Fibula involves some surgical difficulties because of its contribution to knee joint and ankle stability and its close adjacency to neurovascular structures in proximal. Radiologically, tumor borders and how much bone can be sacrificed should be planned well. With a good planning and a careful surgical treatment, tumor can be removed without complications.