case_images: PMC9910223_01
case_images: Preoperative images a) anterior-posterior radiograph, b) lateral direct radiograph, c) MRI T1 coronal section, d) MRI T2 coronal section, e) MRI T2 axial section, and f) axial tomography section. MRI: Magnetic resonance imaging
case_images: cureus-0015-00000033526-i01.jpg
case_images: PMC9910223_01_cureus-0015-00000033526-i01.jpg
case_images: FIG1
case_images: Neoadjuvant chemotherapy (CT) was completed in the patient who had localized disease at the time of diagnosis, and radiological images of the patient after CT showed an intramedullary tumoral lesion located distal to the left tibia diaphysis (Figure 1).
case_images: Intraoperative images a) dissection and retraction of the vascularized fibula, b) tibial tumoral segment osteotomized, c) tibial segment packed for radiotherapy, d) ipsilateral fibula placed in the defect with its pedicle, e) irradiated tibia was placed in its anatomical location and stabilized with a plate, f) scope image of the ipsilateral pedicled fibula placed in the proximal tibial medulla, and g) scope image of the ipsilateral pedicled fibula placed in the distal tibial medulla
case_images: cureus-0015-00000033526-i02.jpg
case_images: PMC9910223_01_cureus-0015-00000033526-i02.jpg
case_images: FIG2
case_images: In addition, the irradiated tibia was stabilized to the plate with two screws (Figure 2).
case_images: Postoperative images a) anterior-posterior radiograph, b) lateral direct radiograph, c) CT angiography found that the fibular artery was working, d) 12-month anterior-posterior radiograph, and e) 12-month lateral direct radiograph
case_images: cureus-0015-00000033526-i03.jpg
case_images: PMC9910223_01_cureus-0015-00000033526-i03.jpg
case_images: FIG3
case_images: No recurrence or metastasis was detected in the 12-month follow-up, and the patient is satisfied with her life (Figure 3).