Musculoskeletal tumours of the lower limbs especially malignant tumours are not common. The fibula is the site of primary bone tumours as reported in 2.4% of lower limb tumours with the proximal third being more frequently involved than the distal segment. Osteosarcoma is the most common primary malignant bone tumour of nonhaematopoietic origin, with distal fibular involvement in 0.47% of patients. The advances in imaging techniques and neo-adjuvant chemotherapy have now made it possible to accurately define the extent of tumour and plan limb salvage with tumour resection. The purpose of this case report is to highlight the successful outcome of limb salvage procedure with a five year follow up in an 11-year old boy with distal fibular osteosarcoma. Limb salvage surgery with distal fibulectomy and retention of the foot are a good alternative to radical amputation.
It is well established that oil palm is one of the most efficient and productive oil crops. However, oil palm agriculture is also one of the threats to tropical biodiversity. This study aims to investigate how set-aside areas in an oil palm plantation affect bird biodiversity. The research area includes two set-asides areas: peat swamp forest and riparian reserves and two oil palm sites adjacent to reserved forest sites. A total of 3,074 birds comprising 100 species from 34 families were observed in an oil palm plantation landscape on peatland located in the northern part of Borneo, Sarawak, Malaysia. Results showed that efforts by set-asides forest areas in large scale of oil palm dominated landscapes supported distinct bird species richness. High percentage of the canopies and shrub covers had a positive effect on bird species richness at area between oil palm and peat swamp forest. Herbaceous cover with height less than 1 m influenced the abundance of birds in the plantation closed to the peat swamp forest. The set-aside areas in oil palm plantations are essential in supporting bird's refuges and should be part of oil palm landscape management to improve biodiversity conservation. Thus, provided the forest set-aside areas are large enough and risks to biodiversity and habitat are successfully managed, oil palm can play an important role in biodiversity conservation.