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J Orthop. 2017 Jun 24;14(3):406-409. doi: 10.1016/j.jor.2017.06.003. eCollection 2017 Sep.

Reconstruction of the distal tibia following resection of aggressive bone tumours using a custom-made megaprosthesis.

Journal of orthopaedics

P Yang, S Evans, Z Khan, A Abudu, L Jeys, R Grimer

Affiliations

  1. Royal Orthopaedic Hospital, NHS Foundation Trust, UK.

PMID: 28725124 PMCID: PMC5508224 DOI: 10.1016/j.jor.2017.06.003

Abstract

OBJECTIVE: Largest, single-centre study of clinical and functional outcomes of patients who underwent endoprosthetic replacement (EPR) for aggressive distal tibial bone tumours.

METHOD: Retrospective observational study of eight patients was undertaken.

RESULTS: Median follow-up was 77 months (range 13-276). Cumulative five and ten year survival was 63% and 42% respectively. Three patients developed either disease recurrence or metastases post-surgery. One patient developed deep infection requiring washout and suppressive antibiotics. No patients required revision surgery. The median MSTS score at last follow up was 66%.

CONCLUSIONS: EPR of the distal tibia is a viable option and provides good function outcomes.

Keywords: Distal tibia; Endoprosthesis; Endoprosthetic replacement; Osteosarcoma; Primary

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