Clinical Research on Foot & Ankle
Open Access

Case Report

Xenograft Bone-Guided Regeneration of the Foot in Case of Metastatic Bladder Carcinoma causing Pathological Fracture

Igor Frangez^1*, Tea Nizic Kos¹, Marina Mencinger², Dragica Maja Smrke¹ and Matej Cimerman¹

¹Department of Traumatology, University Medical Centre Ljubljana, Zaloška cesta, Ljubljana, Slovenia

²Institute of Oncology Ljubljana, Zaloska cesta, Ljubljana, Slovenia

Corresponding Author:

Igor Frangez
Department of Traumatology
University Medical Centre Ljubljana
Zaloška cesta 2, 1525 Ljubljana, Slovenia
Tel: 00386 41682112
E-mail: ifrangez@gmail.com

Received Date: September 06, 2016; Accepted Date: October 26, 2016; Published Date: October31, 2016

Citation: Frangez I, Kos TN, Mencinger M, Smrke DM, Cimerman M (2016) Xenograft Bone-Guided Regeneration of the Foot in Case of Metastatic Bladder Carcinoma causing Pathological Fracture. Clin Res Foot Ankle 4:213. doi:10.4172/2329-910X.1000213

Copyright: © 2016 Frangez I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Background: Bladder carcinoma with distal bone metastasis is rare. Treatment should be multidisciplinary, including pain relief, treatment of threatening (or) pathological fractures, and oncologic therapy for bladder cancer.
Case report: A 52-year-old male patient with bladder cancer reported having pain in the right foot and ankle. Xray and CT revealed multiple bone metastases of bladder cancer to the right foot and ankle, causing pathological fractures. The patient refused proposed below-knee amputation, therefore, preservative surgery with metastasectomy of larger metastases in the foot and ankle, and distal fibulaectomy were performed. To fulfill the defects in the foot, bone guided regeneration with equine xenograft bone block and collagen membrane was performed and additionally stabilized with osteosynthetic material. Two months after surgery, the bone graft was incorporated into the bone and the patient was capable of weight bearing, pain-free, and able to continue with chemotherapy and radiation therapy. Despite the therapy, the patient died of embolism due to metastasis 6 months following the foot operation.
Discussion: The aim of our case report is to show that amputation is not the only method of treatment for patients with multiple metastases of the foot and ankle. Alternatively, bone-guided regeneration with xenograft can be successfully performed also in such patients. Rehabilitation following bone-guided regeneration is shorter compared to amputation, and also enables a better quality of life.

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