Mohamed Ali Bekir1, Coskun Ulucakoy2, Ismail Burak Atalay2, Aras Pervane2, Guray Togral2, Bedii Safak Gungor2

1Department of Orthopaedics and Traumatology, Dr. Nafiz Korez Sincan City Hospital, Ankara, Türkiye
2Department of Orthopaedics and Traumatology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Türkiye

Keywords: Fibula, Malawer, outcome, resection, tumor


Objectives: In this study, we present the characterization of tumors located in the fibula, which is a rare site for tumors, and the clinical and functional results of patients with fibular tumors that we operated in our clinic.

Patients and methods: Between February 2008 and December 2018, a total of 104 patients (58 males, 46 females; mean age: 26±18 years; range, 3 to 78 years) who were operated for tumor located in the fibula were retrospectively analyzed. Demographic data, histopathological diagnosis, tumor localization, surgical method and postoperative complications, metastases, follow-up time, and functional results of the patients were recorded. The fibula was divided into three groups as proximal, diaphysis and distal one-third.

Results: The mean follow-up was 56±25.3 (range, 24 to 108) months. Eighty (76.9%), seven (6.7%) and 17 (16.3%) patients were located proximal, diaphysis and distal to the fibula, respectively. The number of patients with malignant tumors located in the fibula was 26 (25%), the tumor was benign in 54 (51.9%) patients and 24 (23%) tumors were borderline. The most common tumor localized to the fibula was osteochondroma with 28 (26.9%) patients. The most common malignant tumors located in the fibula were Ewing sarcoma and osteosarcoma in 11 patients each. The most common surgical method was curettage in 44 (42.3%) patients. Distant organ metastases were present in 18 (17.3%) patients. The Musculoskeleteal Tumor Society score of 17 patients who underwent resection of the proximal fibula were 87%.

Conclusion: Fibula is a rare location for tumors and fibula tumors tend to be located more proximal. Tumors located in the fibula have good functional outcomes after surgery.

Citation: Bekir MA, Ulucakoy C, Atalay IB, Pervane A, Togral G, Gungor BS. Characterization of primary fibular bone tumors and post-surgical clinical and functional outcomes. Jt Dis Relat Surg 2022;33(2):419-425.

Ethics Committee Approval

The study protocol was approved by the Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital Ethics Committee (number 2021-06/1151). The study was conducted in accordance with the principles of the Declaration of Helsinki.

Author Contributions

Writer: M.A.B., C.U., I.B.A.; Data analysis: A.P.; Critical review: G.T., B.S.G.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.