PMC6698725_01
Preoperative clinical finding.
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Patient has a good distal neurovascular (Fig. 1).
a).Plain radiograph, b).MRI.
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His plain radiograph showed an eccentric lytic lesion at epi-metaphyseal proximal humerus which extends to soft tissue, destructs the subchondral and cortical bone of proximal humerus (Fig. 2).
Intraoperative finding.
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We performed FVFHG as a reconstruction modality (Fig. 3), in which long head of biceps brachii was attached to the fibular head, sutured the bicep femoris tendon to the Superior Glenohumeral Ligament (SGHL) to maintain the continuity and stability of fibular head for the purpose of preserving shoulder joint stability as well.
Diagram of operative procedure.
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Resection of the tumor was followed by FVFHG to the proximal humerus in order to preserve good shoulder stability (Fig. 4).
Postoperative plain radiograph: a). 8 months postoperative, b). 2 year post operative, and c).3 years postoperative.
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After 3 years follow up, the patient showed good functional outcome with radiographic union of the graft and no recurrence of tumor (Fig. 5).
follow up functional outcome after 3 years postoperative.
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The patient is currently able to perform daily activities, such as maintain personal hygiene, write, self-feed, hold a glass, grooming, and drive his motorcycle (Fig. 6).