الفهرس 
Reconstructive options after tumor resectionOnly 14 pages are availabe for public view
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Abstract
Wide Resection of a primary bone tumor either benign aggressive or malignant results in a large defect that represent a challenge to reconstruct. The options for reconstruction include the use of a cortical autograft either vascularized or non-vascularized with the fibula is the most commonly used. The aim of this research was to compare these methods of reconstruction. Between 2012 and 2014, 20 patients (14 male and 6 female) underwent biological reconstruction of a bone defect after resection of bone tumors. Their mean age was 29.6 years (9 to 55). Of these, 10(50 %) had a vascularized and 10(50 %) a non-vascularized fibular autograft. The mean follow-up was 29 months (24 to 36). Oncological, surgical and functional outcome were evaluated. MSTS score was used for functional evaluation. At final follow-up, one patients had died of disease, one had local recurrence. Primary union was achieved in 18 patients (90%); 9 with a vascularized fibular autograft and 9 with a non-vascularized (p = 0.167). A total of 8 patients (40%) required revision surgery. MSTS score percentage reveal mean 76.56 % in vascularized group and 83.6% in the non-vascularized group. Both groups appear to be reliable biological methods of reconstructing bone defect. Vascularized autografts had a more operative time and re-operation rate mainly due to problems with wound healing.