Huge Intraosseous Tibial Haemangioma Managed with Embolisation, Excision and Fibular Ilizarov Reconstruction: A Case Report.

IF 1 Q3 ORTHOPEDICS

Strategies in Trauma and Limb Reconstruction Pub Date : 2021-01-01 DOI:10.5005/jp-journals-10080-1518

Ken Ad Barsales, Juanito Javier, Jolly J Catibog, Ariel Vergel de Dios, Edward Hm Wang

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Abstract

Aim: Our aim is to report the successful treatment of an intraosseous haemangioma of tibia with an atypical presentation through a multidisciplinary approach of preoperative embolisation, a subtotal resection of the tibia and subsequent reconstruction with the Ilizarov medial fibular translation technique.

Background: En bloc excision is the treatment of choice for large tumours of the tibia. However, there is no single recommended method for the reconstruction of the resulting bony defect.

Case: A 22-year-old female presented with a massive intraosseous haemangioma of the entire tibia. Sequential, multimodal treatment consisted of (1) preembolisation, (2) en bloc resection and (3) reconstruction of the extensive skeletal defect via the Ilizarov method of fibular medialisation. Radiologic union occurred at 6 months and graft hypertrophy at 22 months. At 45 months, the patient was fully weight-bearing without need for an assistive device.

Conclusion: Resection and reconstruction of a large intraosseous haemangioma of the tibia can be treated successfully using a well-planned sequential management of embolisation, resection and Ilizarov fibular grafting.

Significance: This report highlights the successful management of an unusually extensive and difficult tumour through appropriate and meticulous perioperative multidisciplinary planning, execution and follow-up.

How to cite this article: Barsales KAD, Javier J, Catibog JJ, et al. Huge Intraosseous Tibial Haemangioma Managed with Embolisation, Excision and Fibular Ilizarov Reconstruction: A Case Report. Strategies Trauma Limb Reconstr 2021;16(1):60-63.

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栓塞、切除及腓骨Ilizarov重建治疗巨大胫骨骨内血管瘤1例。

目的:我们的目的是报道通过术前栓塞、胫骨次全切除和随后用Ilizarov腓骨内侧移位技术重建的多学科方法成功治疗非典型表现的胫骨骨内血管瘤。背景:整体切除是胫骨大肿瘤的首选治疗方法。然而，没有单一的推荐方法来重建所产生的骨缺损。病例:一名22岁女性，表现为整个胫骨的巨大骨内血管瘤。顺序，多模式治疗包括:(1)栓塞前，(2)整体切除和(3)通过腓骨内侧的Ilizarov方法重建广泛的骨骼缺损。6个月时出现放射愈合，22个月时出现移植物肥大。在45个月时，患者无需辅助装置即可完全负重。结论:通过精心策划的栓塞、切除和Ilizarov腓骨移植的顺序管理，可以成功地切除和重建胫骨骨内血管瘤。意义:本报告强调通过适当和细致的围手术期多学科计划、执行和随访，成功治疗了异常广泛和困难的肿瘤。如何引用本文:Barsales KAD, Javier J, Catibog JJ等。栓塞、切除及腓骨Ilizarov重建治疗巨大胫骨骨内血管瘤1例。创伤肢体重建，2016;16(1):60-63。

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来源期刊

Strategies in Trauma and Limb Reconstruction Medicine-Orthopedics and Sports Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： Strategies in Trauma and Limb Reconstruction is dedicated to surgeons, allied medical professionals and researchers in the field of orthopaedics and trauma. The scope of the journal is to discuss the fields of skeletal injury, and the complications thereof, congenital and acquired limb deformities and deficiencies, and orthopaedic-related infection, together with their surgical and non-surgical treatments. The journal publishes original articles, reviews, case reports, descriptions of new or recognised treatment techniques, forum discussions of clinical scenarios and relevant correspondence. It aims to provide a widely accessible source of useful information to practitioners in the field through the problem- or technique-based approach of published articles.