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Fig. 3 | World Journal of Surgical Oncology

Fig. 3

From: Periosteal preservation: a new technique in resection of bone high-grade malignant tumors in children—about eleven cases

Fig. 3

A Osteosarcoma of the distal left femur in a 13-year-old boy. B Tumor resection by lateral approach with medial periosteal preservation. Reconstruction was performed with two non-vascularized fibula autografts. Only the medial fibula autograft was recovered by the preserved periosteum (footnote: arrows: section line of the periosteum, stars: periosteum preserved). C Gross specimen with medial half of femur without its periosteum. D Serial radiographs showing rapid bone consolidation and good reconstruction, particularly of the medial aspect. We note the difference between the anatomical results of the two non-vascularized fibula autografts: better union and bone integration of the medial fibula which was recovered by the preserved periosteum. E Good functional result at 3-year follow-up with 4.5-cm limb discrepancy and left genu valgum. MSST=28/30

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