Salvage Reconstruction with the Masquelet Technique following Wide Resection for Chondrosarcoma of the Proximal Femoral Metaphysis: A Case Report

Abstract

Background: Bone reconstruction following a wide resection for a malignant musculoskeletal tumor remains challenging, especially for an intercalary defect following the resection of a metaphyseal lesion. Case Report: Here, we describe a surgical procedure using the Masquelet technique for the biological reconstruction of a huge subtrochanteric bone defect following failed pasteurized autologous bone grafting for a conventional chondrosarcoma of the proximal femoral metaphysis with a subtrochanteric pathological fracture. The patient, a 43-year-old Japanese male, was able to walk without a cane or a brace at 15 months after the final operation (International Society of Limb Salvage score, 86.7%). Conclusion: This procedure should be considered as one of the reconstruction options following the wide resection of malignant bone tumors located in the metaphysis.