Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2019; 7(21): 3632-3638
Published online Nov 6, 2019. doi: 10.12998/wjcc.v7.i21.3632
Epiphyseal distraction and hybrid reconstruction using polymethyl methacrylate construct combined with free non-vascularized fibular graft in pediatric patients with osteosarcoma around knee: A case report
Yin-Hua Liang, Hong-Bo He, Can Zhang, Yu-Peng Liu, Jun Wan
Yin-Hua Liang, Department of Operation, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China
Hong-Bo He, Can Zhang, Yu-Peng Liu, Jun Wan, Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China
Author contributions: Liang YH and Wan J analyzed and interpreted the patient data and was a major contributor in writing the manuscript; Zhang C and Liu YP collected the data; Wan J, He HB and Zhang C made the plan preoperatively and performed the operation together; Wan J was in charge of the study design.
Supported by National Natural Science Foundation of China, No. 81301671
Informed consent statement: Clinical information of this study was obtained by chart reviews and with the approval of the Committee on Clinical Investigation of Xiangya Hospital, Central South University.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jun Wan, MD, PhD, Academic Fellow, Assistant Professor, Doctor, Department of Orthopedics, Xiangya Hospital, Central South University, Xiangya Road No. 87, Changsha 410008, Hunan Province, China. wanjun@csu.edu.cn
Telephone: +86-731-89753706 Fax: +86-731-89753706
Received: May 2, 2019
Peer-review started: May 3, 2019
First decision: September 9, 2019
Revised: September 27, 2019
Accepted: October 5, 2019
Article in press: October 5, 2019
Published online: November 6, 2019
Core Tip

Core tip: Epiphyseal distraction can be applied to obtain a safe margin in the osteosarcoma patient without epiphysis involvement. Hybrid reconstruction with an antibiotic-loaded polymethyl methacrylate construct combined with a free non-vascularized fibular graft has advantages such as easy manufacturing, less time-consuming, lower chances of infection, and better bone union.