case_images: PMC6698725_01
case_images: Preoperative clinical finding.
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case_images: PMC6698725_01_gr1.jpg
case_images: fig0005
case_images: Patient has a good distal neurovascular (Fig. 1).
case_images: a).Plain radiograph, b).MRI.
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case_images: PMC6698725_01_gr2.jpg
case_images: fig0010
case_images: 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).
case_images: Intraoperative finding.
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case_images: PMC6698725_01_gr3.jpg
case_images: fig0015
case_images: 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.
case_images: Diagram of operative procedure.
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case_images: PMC6698725_01_gr4.jpg
case_images: fig0020
case_images: Resection of the tumor was followed by FVFHG to the proximal humerus in order to preserve good shoulder stability (Fig. 4).
case_images: Postoperative plain radiograph: a). 8 months postoperative, b). 2 year post operative, and c).3 years postoperative.
case_images: gr5.jpg
case_images: PMC6698725_01_gr5.jpg
case_images: fig0025
case_images: After 3 years follow up, the patient showed good functional outcome with radiographic union of the graft and no recurrence of tumor (Fig. 5).
case_images: follow up functional outcome after 3 years postoperative.
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case_images: PMC6698725_01_gr6.jpg
case_images: fig0030
case_images: 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).