Reconstruction of the pelvic ring using an autologous free non-vascularized fibula graft in a patient with benign fibrous histiocytoma

• Main Authors: Werner Mathias, Ludwig Karl, Niemeyer Philipp, Bernd Ludger, Parsch Dominik
• Format: Article
• Language: English
• Published: BMC 2004-11-01
• Series: World Journal of Surgical Oncology
• Online Access: http://www.wjso.com/content/2/1/38

<p>Abstract</p> <p>Background</p> <p>Benign fibrous histiocytomas (BFH) usually presents as a small benign lesion that predominantly occurs in the skin. Only few cases of BFH arising from bone have been reported, its occurrence in pelvic bones is even rarer.</p> <p>Case presentation</p> <p>A 34-year-old female presented with BFH at a rare anatomical location on both sides of the <it>os ilium </it>which was larger than earlier reported BFH of the bone. Surgical resection was performed successfully including resection of the inner pelvic ring and reconstruction of the linea terminalis using a non-vascularized fibular autograft. At 18 months after tumor resection and reconstruction of the pelvic ring, with interposition of a free vascularized fibula graft patient has an excellent clinical oncological and functional outcome.</p> <p>Conclusion</p> <p>Non vascularized fibular autograft is a useful reconstructive procedure in select patients.</p>