Extract
Tumors of the distal part of the fibula necessitating resection pose
a problem because of the need to reconstruct a stable ankle joint and to
obtain coverage of this area. Standard textbook solutions include simple
resection of the distal aspect of the fibula including the lateral malleolus,
as described by
Carnesale1 and later
by Norman-Taylor et
al.2, and resection
of the distal part of the fibula with reconstruction of the lateral malleolus
with use of the fibular head, as described by
Carrell3, Herring et
al.4, and de Gauzy
et al.5. An
allograft reconstruction has also been
described6, as has
reconstruction with an iliac crest bone
graft7. Other
possible techniques, albeit less desirable, are ankle arthrodesis and
amputation. Although the textbook techniques are considered to be classics,
not many reports have detailed their use and
results2-5,8-12.