Long-term Outcome of Vascularized Fibular Bone Graft Reconstruction for Upper Limb Osteosarcoma: A Case Report

REPORTincreased uptake on left proximal humerus.Finally, a closed biopsy was done, and the diagnosis was confirmed to be an osteosarcoma of the left proximal humerus.Following a multidisciplinary discussion and multimodal approach, she underwent neoadjuvant chemotherapy followed by surgical resection of the tumor and reconstruction with autogenous vascularized right fibular graft fixed with internal fixation (plate osteosynthesis) (Fig. 3).Both intraoperative and post-op periods were uneventful.Post-op, she was started on adjuvant chemotherapy and radiotherapy.She started to mobilize her upper limb at 6 weeks post-op and started doing her routine activities.Now, after 12 years, she came