Reconstructed bone fracture 28 years after hip rotationplasty for Ewing sarcoma: A case report

Tsuha,Yuichi; Oshiro,Hiromichi; Mizuta,Kohei; Tome,Yasunori; Nishida,Kotaro

doi:10.3892/mco.2023.2644

June-2023 Volume 18 Issue 6

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

June-2023 Volume 18 Issue 6

Full Size Image

Case Report Open Access

Reconstructed bone fracture 28 years after hip rotationplasty for Ewing sarcoma: A case report

Authors:
- Yuichi Tsuha
- Hiromichi Oshiro
- Kohei Mizuta
- Yasunori Tome
- Kotaro Nishida
View Affiliations / Copyright

Affiliations: Department of Orthopedic Surgery, Graduate School of Medicine, University of The Ryukyus, Nishihara, Okinawa 903‑0215, Japan

Copyright: © Tsuha et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 48
|
Published online on: May 8, 2023

https://doi.org/10.3892/mco.2023.2644
Expand metrics +

Abstract

Hip rotationplasty is a surgical method used to treat malignant tumors of the proximal femur. A 52‑year‑old woman, who underwent hip rotationplasty for Ewing sarcoma of the proximal left femur at the age of 24, fell and hit the left buttock. The patient was then admitted to the Department of Orthopedic Surgery, Graduate School of Medicine, University of the Ryukyus. Radiography and computed tomography (CT) revealed a comminuted fracture of the reconstructed bone distally. The patient underwent open reduction and internal fixation (ORIF) and external fixator. External fixation was removed 1 month after the surgery. At two years after surgery, at the latest follow‑up, bone union was confirmed by 3‑dimensional CT. The combination of ORIF and temporal external fixation was effective for the reconstructed bone fractures after hip rotationplasty.

View Figures

View References

1	Winkelmann WW: Hip rotationplasty for malignant tumors of the proximal part of the femur. J Bone Joint Surg Am. 68:362–369. 1986.PubMed/NCBI
2	Hardes J, Gosheger G, Vachtsevanos L, Hoffmann C, Ahrens H and Winkelmann W: Rotationplasty type BI versus type BIIIa in children under the age of ten years. Should the knee be preserved? J Bone Joint Surg Br. 87:395–400. 2005.PubMed/NCBI View Article : Google Scholar
3	Sawamura C, Hornicek FJ and Gebhardt MC: Complications and risk factors for failure of rotationplasty: Review of 25 patients. Clin Orthop Relat Res. 466:1302–1308. 2008.PubMed/NCBI View Article : Google Scholar
4	Rutten S, van den Bekerom MPJ, Sierevelt IN and Nolte PA: Enhancement of bone-healing by low-intensity pulsed ultrasound: A systematic review. JBJS Rev. 4(e6)2016.PubMed/NCBI View Article : Google Scholar
5	Hagi T, Nakamura T, Nagano A, Koike H, Yamada K, Aiba H, Fujihara N, Wasa J, Asanuma K, Kozawa E, et al: Clinical outcome in patients who underwent amputation due to extremity soft tissue sarcoma: Tokai musculoskeletal oncology consortium study. Jpn J Clin Oncol. 52:157–162. 2022.PubMed/NCBI View Article : Google Scholar
6	Miwa S, Kamei M, Yoshida S, Yamada S, Aiba H, Tsuchiya H and Otsuka T: Local dissemination of osteosarcoma observed after massage therapy: A case report. BMC Cancer. 19(993)2019.PubMed/NCBI View Article : Google Scholar
7	Chandrasekar CR, Grimer RJ, Carter SR, Tillman RM, Abudu A and Buckley L: Modular endoprosthetic replacement for tumours of the proximal femur. J Bone Joint Surg Br. 91:108–112. 2009.PubMed/NCBI View Article : Google Scholar
8	Kabukcuoglu Y, Grimer RJ, Tillman RM and Carter SR: Endoprosthetic replacement for primary malignant tumors of the proximal femur. Clin Orthop Relat Res. 358:8–14. 1999.PubMed/NCBI
9	Winkelmann WW: Type-B-IIIa hip rotationplasty: An alternative operation for the treatment of malignant tumors of the femur in early childhood. J Bone Joint Surg Am. 82:814–828. 2000.PubMed/NCBI View Article : Google Scholar
10	Okazaki N, Kumagai K, Egashira M, Osaki M, Murata M, Tomita M and Shindo H: Hip rotationplasty with antibiotic-loaded bone cement spacer for severe infection following limb-sparing surgery. Orthopedics. 31(713)2008.PubMed/NCBI
11	Gupta SK, Alassaf N, Harrop AR and Kiefer GN: Principles of rotationplasty. J Am Acad Orthop Surg. 20:657–667. 2012.PubMed/NCBI View Article : Google Scholar
12	Hillmann A, Hoffmann C, Gosheger G, Rödl R, Winkelmann W and Ozaki T: Tumors of the pelvis: Complications after reconstruction. Arch Orthop Trauma Surg. 123:340–344. 2003.PubMed/NCBI View Article : Google Scholar
13	Kunisada T, Fujiwara T, Hasei J, Nakata E, Senda M and Ozaki T: Temporary external fixation can stabilize hip transposition arthroplasty after resection of malignant periacetabular bone tumors. Clin Orthop Relat Res. 477:1892–1901. 2019.PubMed/NCBI View Article : Google Scholar
14	Ozaki T, Hillmann A and Winkelmann W: Treatment outcome of pelvic sarcomas in young children: Orthopaedic and oncologic analysis. J Pediatr Orthop. 18:350–355. 1998.PubMed/NCBI