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Intercalary Reconstructions with Vascularised Fibula and Allograft after Tumour Resection in the Lower Limb
Reconstruction with massive bone allograft and autologous vascularised fibula combines the structural strength of the allograft and the advantages of fibula's intrinsic blood supply. We retrospectively analysed the outcome of twelve patients (4 male, 8 female) who received reconstruction with m...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3676952/ https://www.ncbi.nlm.nih.gov/pubmed/23766665 http://dx.doi.org/10.1155/2013/160295 |
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author | Rabitsch, Katharina Maurer-Ertl, Werner Pirker-Frühauf, Ulrike Wibmer, Christine Leithner, Andreas |
author_facet | Rabitsch, Katharina Maurer-Ertl, Werner Pirker-Frühauf, Ulrike Wibmer, Christine Leithner, Andreas |
author_sort | Rabitsch, Katharina |
collection | PubMed |
description | Reconstruction with massive bone allograft and autologous vascularised fibula combines the structural strength of the allograft and the advantages of fibula's intrinsic blood supply. We retrospectively analysed the outcome of twelve patients (4 male, 8 female) who received reconstruction with massive bone allograft and autologous vascularised fibula after tumour resection in lower limb. Mean age was 17.8 years (range 11–31 years), with following primaries: Ewing's sarcoma (n = 6), osteosarcoma (n = 4), liposarcoma grade 2 (n = 1), and adamantinoma (n = 1). Mean followup was 38.7 months (median 25.7 months; range 2–88 months). Seven tumours were located in the femur and five in the tibia. The mean length of bone defect was 18.7 cm (range 15–25 cm). None of the grafts had to be removed, but there occurred four fractures, four nonunions, and two infections. Two patients developed donor side complication, in form of flexion deformity of the big toe. The event-free survival rate was 51% at two-year followup and 39% at three- and five-year followup. As the complications were manageable, and full weight bearing was achieved in all cases, we consider the combination of massive bone allograft and autologous vascularised fibula a stable and durable reconstruction method of the diaphysis of the lower limbs. |
format | Online Article Text |
id | pubmed-3676952 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-36769522013-06-13 Intercalary Reconstructions with Vascularised Fibula and Allograft after Tumour Resection in the Lower Limb Rabitsch, Katharina Maurer-Ertl, Werner Pirker-Frühauf, Ulrike Wibmer, Christine Leithner, Andreas Sarcoma Clinical Study Reconstruction with massive bone allograft and autologous vascularised fibula combines the structural strength of the allograft and the advantages of fibula's intrinsic blood supply. We retrospectively analysed the outcome of twelve patients (4 male, 8 female) who received reconstruction with massive bone allograft and autologous vascularised fibula after tumour resection in lower limb. Mean age was 17.8 years (range 11–31 years), with following primaries: Ewing's sarcoma (n = 6), osteosarcoma (n = 4), liposarcoma grade 2 (n = 1), and adamantinoma (n = 1). Mean followup was 38.7 months (median 25.7 months; range 2–88 months). Seven tumours were located in the femur and five in the tibia. The mean length of bone defect was 18.7 cm (range 15–25 cm). None of the grafts had to be removed, but there occurred four fractures, four nonunions, and two infections. Two patients developed donor side complication, in form of flexion deformity of the big toe. The event-free survival rate was 51% at two-year followup and 39% at three- and five-year followup. As the complications were manageable, and full weight bearing was achieved in all cases, we consider the combination of massive bone allograft and autologous vascularised fibula a stable and durable reconstruction method of the diaphysis of the lower limbs. Hindawi Publishing Corporation 2013 2013-05-23 /pmc/articles/PMC3676952/ /pubmed/23766665 http://dx.doi.org/10.1155/2013/160295 Text en Copyright © 2013 Katharina Rabitsch et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Rabitsch, Katharina Maurer-Ertl, Werner Pirker-Frühauf, Ulrike Wibmer, Christine Leithner, Andreas Intercalary Reconstructions with Vascularised Fibula and Allograft after Tumour Resection in the Lower Limb |
title | Intercalary Reconstructions with Vascularised Fibula and Allograft after Tumour Resection in the Lower Limb |
title_full | Intercalary Reconstructions with Vascularised Fibula and Allograft after Tumour Resection in the Lower Limb |
title_fullStr | Intercalary Reconstructions with Vascularised Fibula and Allograft after Tumour Resection in the Lower Limb |
title_full_unstemmed | Intercalary Reconstructions with Vascularised Fibula and Allograft after Tumour Resection in the Lower Limb |
title_short | Intercalary Reconstructions with Vascularised Fibula and Allograft after Tumour Resection in the Lower Limb |
title_sort | intercalary reconstructions with vascularised fibula and allograft after tumour resection in the lower limb |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3676952/ https://www.ncbi.nlm.nih.gov/pubmed/23766665 http://dx.doi.org/10.1155/2013/160295 |
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