Reconstruction of the elbow using pedicle joint freezing after wide excision for soft tissue sarcoma: A case report

Hashimoto,Yuta; Tome,Yasunori; Oshiro,Hiromichi; Aoki,Yusuke; Maehara,Hiroki; Nishida,Kotaro

doi:10.3892/mco.2021.2277

Reconstruction of the elbow using pedicle joint freezing after wide excision for soft tissue sarcoma: A case report

Authors:
- Yuta Hashimoto
- Yasunori Tome
- Hiromichi Oshiro
- Yusuke Aoki
- Hiroki Maehara
- Kotaro Nishida
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Affiliations: Department of Orthopedic Surgery, Graduate School of Medicine, University of the Ryukyus, Nishihara, Okinawa 903‑0125, Japan, Department of Hyperbaric Medicine, University of the Ryukyus Hospital, Nishihara, Okinawa 903‑0125, Japan
Published online on: April 8, 2021 https://doi.org/10.3892/mco.2021.2277
Article Number: 115
Copyright: © Hashimoto et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

A 35‑year‑old man presented with a four‑year history of a growing mass on the anterior aspect of his left elbow. Magnetic resonance imaging revealed a soft tissue tumor in the brachialis muscle extending to the cubital fossa. Following an open biopsy, the tumor was diagnosed as a monophasic fibrous synovial sarcoma. After neoadjuvant chemotherapy, the patient underwent wide excision and reconstruction of the elbow joint with a pedicle frozen autograft. At the final follow‑up four years after surgery, the elbow range of motion was 0‑120˚. Although there were signs of osteoarthritis, there was no narrowing of the joint -, and the patient experienced only mild pain. To the best of our knowledge, the present case report is the first to describe wide tumor excision and reconstruction using a pedicle frozen autograft of the elbow. This method should be considered after excision of malignant bone and soft tissue tumors, especially in non‑weight‑bearing joints. Further cases have to be evaluated to understand the complications and long‑term prognosis of this procedure.

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