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    Evaluation of treatment results for proximal fibula and surrounding tumoral lesions
    (Bayrakol Medical Publisher, 2020) Pazarci, Ozhan; Kilinc, Seyran; Tuncer, Kutsi
    Aim: The proximal fibula has a specific anatomy and tumoral lesions are rarely observed in this region. The aim of this study was to present the diagnosis, treatment methods, and postoperative outcomes for tumoral lesions observed in and around the proximal fibula together. Materials and Methods: Data of 22 patients with tumor in or around the proximal fibula were retrospectively investigated. The preop, and postop findings, treatment administered and pathologic diagnosis data of the patients were collected. The postop Toronto Extremity Salvage Score (TESS), Musculoskeletal Tumor Society score (MSTS), Physical score (PCS-12), and Mental score (MCS-12) data for patients were recorded and analyzed with SPSS (ver. 23). Results: The mean age of patients was 28.45 years (min: 11, max: 60). The mean follow-up duration was 16.81 +/- 7.52 months. Of patients, 13 were male (59.1%) and 9 were female (40.9%). Lesions were present on the right side in 13 patients (59.1%) and on the left side in 9 patients (40.1%). Patients most commonly attended with complaints of pain and peroneal compression. Osteochondroma and giant cell tumor were the most commonly encountered pathological diagnoses. There was no significant difference observed between the form of the treatment and postop follow-up scores of the patients. Discussion: The strongest aspect of our study is that it contributes a 22-case series to the limited literature in this field. Additionally, the preop clinical presentation, postop follow-up outcomes and surgical treatment forms of the patients are presented together. In this case series including rarely-observed cases, eight different pathologic diagnoses are presented. Conclusion: Knee stability should definitely be evaluated during proximal fibula surgeries. The most commonly observed pathologic diagnoses in this region are presented in our study. When considering benign tumors in this region, the diagnoses in our series should be remembered. Additionally, it should not be forgotten that patients may apply with peroneal compression findings.