@article{oai:kanazawa-u.repo.nii.ac.jp:00014240, author = {山本, 憲男 and 林, 克洋 and 木村, 浩明 and 武内 , 章彦 and 三輪, 真嗣 and 樋口, 貴史 and 阿部, 健作 and 土屋, 弘行 and Inatani, Hiroyuki and Yamamoto, Norio and Hayashi, Katsuhiro and Kimura, Hiroaki and Takeuchi, Akihiko and Miwa, Shinji and Higuchi, Takashi and Abe, Kensaku and Taniguchi, Yuta and Yamada, Satoshi and Okamoto, Hideki and Otsuka, Takanobu and Tsuchiya, Hiroyuki}, issue = {4}, journal = {Journal of Bone Oncology}, month = {Nov}, note = {Background/aim Aggressive benign or malignant tumors in the proximal fibula may require en bloc resection of the fibular head, including the peroneal nerve and lateral collateral ligament. Here, we report the treatment outcomes of 12 patients with aggressive benign or malignant proximal fibula tumors. Patients and methods Four patients with osteosarcoma and 1 patient with Ewing's sarcoma were treated with intentional marginal resections after effective chemotherapy, and 4 patients underwent fibular head resections without ligamentous reconstruction. Clinical outcomes were investigated. Results The mean Musculoskeletal Tumor Society scores were 96% and 65% in patients without peroneal nerve resection and those with nerve resection, respectively. No patients complained of knee instability. Conclusion Functional outcomes after resection of the fibular head were primarily influenced by peroneal nerve preservation. If patients are good responders to preoperative chemotherapy, malignant tumors may be treated with marginal excision, resulting in peroneal nerve preservation and good function. © 2016 The Authors, Embargo Period 12 months}, pages = {163--166}, title = {Surgical management of proximal fibular tumors: A report of 12 cases}, volume = {5}, year = {2016} }