Extendible replacements of the proximal tibia for bone tumours

Citation
Rj. Grimer et al., Extendible replacements of the proximal tibia for bone tumours, J BONE-BR V, 82B(2), 2000, pp. 255-260
Citations number
33
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine","da verificare
Journal title
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME
ISSN journal
0301620X → ACNP
Volume
82B
Issue
2
Year of publication
2000
Pages
255 - 260
Database
ISI
SICI code
0301-620X(200003)82B:2<255:EROTPT>2.0.ZU;2-K
Abstract
Limb salvage is now customary in the treatment of primary bone tumours, The proximal tibia is a frequent site for these neoplasms but reconstruction, especially in children, is a formidable challenge. We reviewed 20 children with extendible replacements of the proximal tibia, all with a minimum foll ow-up of five years. Five died from their disease and, of the remaining 15, four had above-knee amputations for complications. Infection occurred in s even patients; in five it was related to the lengthening procedure. Aseptic loosening is inevitable in the younger children and only two have avoided a revision, amputation or other major complication; both were aged 12 years at the time of the initial surgery. Despite this, 11 children are alive wi th a functioning leg and a mean Musculoskeletal Tumour Society functional s core of 83%. The lengthening mechanisms used in our series required extensi ve open operations, We are now using a simpler, minimally invasive, techniq ue which we hope will decrease the incidence of complications. At present, the use of extendible prostheses of the proximal tibia remains an experimen tal procedure.