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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Limb salvage for osteosarcoma of the distal tibia with resection arthrodesis, autogenous fibular graft and Ilizarov external fixator
Journal of Bone and Joint Surgery - Series B, Volume 88, No. 12, Year 2006
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Description
We report the results of limb salvage for non-metastatic osteosarcoma of the distal tibia using resection arthrodesis, autogenous fibular graft and fixation by an Ilizarov external fixator. In six patients with primary osteosarcoma of the distal tibia who refused amputation, treatment with wide en bloc resection and tibiotalar arthrodesis was undertaken. The defect was reconstructed using non-vascularised free autogenous fibular strut graft in three patients and a vascularised pedicular fibular graft in three, all supplemented with iliac cancellous graft at the graft-host junction. An Ilizarov external fixator was used for stabilisation of the reconstruction. In five patients sound fusion occurred at a mean of 13.2 months (8 to 20) with no evidence of local recurrence or deep infection at final follow-up. The mean post-operative functional score was 70% (63% to 73%) according to the Musculoskeletal Tumour Society scoring system. All five patients showed graft hypertrophy. Union of the graft was faster in cases reconstructed by vascularised fibular grafts. One patient who had a poor response to pre-operative chemotherapy developed local tumour recurrence at one year post-operatively and required subsequent amputation. © 2006 British Editorial Society of Bone and Joint Surgery.
Authors & Co-Authors
Shalaby, S.
Egypt, Cairo
Demerdash Hospital
Shalaby, Hisham
Egypt, Cairo
Demerdash Hospital
Bassiony, Ayman Abdelaziz
Egypt, Cairo
Demerdash Hospital
Statistics
Citations: 79
Authors: 3
Affiliations: 1
Identifiers
Doi:
10.1302/0301-620X.88B12.17879
ISSN:
0301620X
Research Areas
Cancer
Health System And Policy
Study Design
Cohort Study