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14-year-old female presented with pain in the right elbow, radiographs (a) and MRI (b) confirmed lesion in the olecranon. Biopsy proved Ewing's sarcoma and patient underwent en bloc resection and reconstruction (c) with the extrocorporeal irradiated tumor segment autograft. At latest follow-up, osteotomy junctions have united and no disease/graft- or joint-related complications seen on radiograph (d). Patient has normal range of movement and pronosupination (e).
