Abstract:
:We have assessed the oncological and functional results of limb salvage surgery using a custom-made endoprosthetic replacement in six patients (mean age 17 years) with distal tibial osteosarcoma (stage IIB). A wide margin excision was possible in three, marginal in two and contaminated in one. Skeletal reconstruction was performed using a locally designed and manufactured custom-made distal tibial and ankle replacement prosthesis. Two patients developed local recurrence and one necrosis of the flap and deep infection. In three in whom the prosthesis remained in place the mean functional score according to the rating system of the Musculoskeletal Tumour Society was 24.3/30. In carefully selected patients limb salvage with prosthetic replacement is possible for distal tibial osteosarcomas.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Natarajan MV,Annamalai K,Williams S,Selvaraj R,Rajagopal TSdoi
10.1007/s002640000172keywords:
subject
Has Abstractpub_date
2000-01-01 00:00:00pages
282-4issue
5eissn
0341-2695issn
1432-5195journal_volume
24pub_type
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更新日期:1990-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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