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

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
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Affiliations: Department of Orthopedic Surgery, Graduate School of Medicine, University of The Ryukyus, Nishihara, Okinawa 903‑0215, Japan
Published online on: May 8, 2023 https://doi.org/10.3892/mco.2023.2644
Article Number: 48
Copyright: © Tsuha et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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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.

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