Volume 1Number 2, July 2019
Ewing’s sarcoma of the distal part of ulna treated by wide excision and reconstruction by non-vascularized autogenous fibular graft: A case report
Khondokar Nurul Arefin1 , Sayeed Al Mahmud2 , Mahbuba Khatun3 , Md. Johurul Hoque4 , Muhammad Emam-Uz-Zaman5 , Azizur Rahman6
Ewing’s sarcoma of the bone is the second most frequently occurring malignant bone tumor in children and adolescents. Ewing’s sarcoma in the distal ulna is extremely rare. Thus, the surgical options for reconstruction of the ulna are limited and technically challenging. It can be treated with different methods of reconstruction. Wide local excision following neoadjuvant chemotherapy followed by reconstructive procedure is the usual method of limb salvage surgery. Patient needs post operative adjuvant chemotherapy and local radiotherapy to reduce the chance of local recurrence and systemic metastasis. We present a case of Ewing sarcoma of distal end of ulna in a 9 years girls treated with limb salvage surgery as neoadjuvant chemotherapy followed by wide excision and reconstruction with non vascularised fibular graft and post operative chemotherapy and local radiotherapy. Graft was uniting well and without any local recurrence or systemic metastasis at subsequent follow up to 6 months. There was no neurovascular and functional deficit occurred.
Keywords: Ewing’s sarcoma, stabilization, resections, non-vascularized fibular graft, ulna, Bone tumor.
- Associate Professor, Department of Orthopaedic surgery
- OSD Surgery
- Associate Professor, Department of Orthopaedic Surgery
- D-Ortho, Registrar, Department of Orthopaedic Surgery