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Ankle fusion with centralisation of the fibula after distal tibia bone tumour resection
BACKGROUND: Management of distal tibial tumours with limb salvage surgery poses a challenge for the orthopaedic surgeon. This study was done to evaluate the results of fibular centralisation as a technique to reconstruct defects that occurred after resection at this site. MATERIALS AND METHODS: Nine...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033796/ https://www.ncbi.nlm.nih.gov/pubmed/24337812 http://dx.doi.org/10.1007/s10195-013-0279-2 |
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author | Kundu, Zile Singh Gogna, Paritosh Gupta, Vinay Singla, Rohit Sangwan, Sukhbir Singh Mohindra, Mukul Singh, Amanpreet |
author_facet | Kundu, Zile Singh Gogna, Paritosh Gupta, Vinay Singla, Rohit Sangwan, Sukhbir Singh Mohindra, Mukul Singh, Amanpreet |
author_sort | Kundu, Zile Singh |
collection | PubMed |
description | BACKGROUND: Management of distal tibial tumours with limb salvage surgery poses a challenge for the orthopaedic surgeon. This study was done to evaluate the results of fibular centralisation as a technique to reconstruct defects that occurred after resection at this site. MATERIALS AND METHODS: Nine patients with a mean age of 23.2 years (range 17–34) with diagnosis of osteosarcoma in four patients, Ewing’s sarcoma in two, giant cell tumour in two and chondrosarcoma in one patient underwent surgical treatment for tumour in the distal tibia. All patients had wide resection of the tumour and ankle arthrodesis with centralisation of the fibula. Patients were assessed clinico-radiologically for bone union, infection and complications. The final functional outcome was estimated according to Musculoskeletal Tumor Society (MSTS) scores. RESULTS: The mean age at the time of surgery was 23.2 years (17–34). There were five females and four males. The mean follow-up was 37 months (range 28–54 months). One of the patients with osteosarcoma had a recurrence a year after limb salvage surgery, underwent above-knee amputation, and died 18 months later due to metastasis. One patient developed leg length discrepancy. The mean MSTS score was 22.75 (range 17–27). CONCLUSION: Fibular centralisation is a durable reconstruction tool for defects of the distal tibial metaphysis with an acceptable functional outcome. It is an inexpensive and simple procedure, with a low rate of late complications, and reproducible results. LEVEL OF EVIDENCE: IV Retrospective case series. |
format | Online Article Text |
id | pubmed-4033796 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-40337962014-05-29 Ankle fusion with centralisation of the fibula after distal tibia bone tumour resection Kundu, Zile Singh Gogna, Paritosh Gupta, Vinay Singla, Rohit Sangwan, Sukhbir Singh Mohindra, Mukul Singh, Amanpreet J Orthop Traumatol Original Article BACKGROUND: Management of distal tibial tumours with limb salvage surgery poses a challenge for the orthopaedic surgeon. This study was done to evaluate the results of fibular centralisation as a technique to reconstruct defects that occurred after resection at this site. MATERIALS AND METHODS: Nine patients with a mean age of 23.2 years (range 17–34) with diagnosis of osteosarcoma in four patients, Ewing’s sarcoma in two, giant cell tumour in two and chondrosarcoma in one patient underwent surgical treatment for tumour in the distal tibia. All patients had wide resection of the tumour and ankle arthrodesis with centralisation of the fibula. Patients were assessed clinico-radiologically for bone union, infection and complications. The final functional outcome was estimated according to Musculoskeletal Tumor Society (MSTS) scores. RESULTS: The mean age at the time of surgery was 23.2 years (17–34). There were five females and four males. The mean follow-up was 37 months (range 28–54 months). One of the patients with osteosarcoma had a recurrence a year after limb salvage surgery, underwent above-knee amputation, and died 18 months later due to metastasis. One patient developed leg length discrepancy. The mean MSTS score was 22.75 (range 17–27). CONCLUSION: Fibular centralisation is a durable reconstruction tool for defects of the distal tibial metaphysis with an acceptable functional outcome. It is an inexpensive and simple procedure, with a low rate of late complications, and reproducible results. LEVEL OF EVIDENCE: IV Retrospective case series. Springer International Publishing 2013-12-15 2014-06 /pmc/articles/PMC4033796/ /pubmed/24337812 http://dx.doi.org/10.1007/s10195-013-0279-2 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/2.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
spellingShingle | Original Article Kundu, Zile Singh Gogna, Paritosh Gupta, Vinay Singla, Rohit Sangwan, Sukhbir Singh Mohindra, Mukul Singh, Amanpreet Ankle fusion with centralisation of the fibula after distal tibia bone tumour resection |
title | Ankle fusion with centralisation of the fibula after distal tibia bone tumour resection |
title_full | Ankle fusion with centralisation of the fibula after distal tibia bone tumour resection |
title_fullStr | Ankle fusion with centralisation of the fibula after distal tibia bone tumour resection |
title_full_unstemmed | Ankle fusion with centralisation of the fibula after distal tibia bone tumour resection |
title_short | Ankle fusion with centralisation of the fibula after distal tibia bone tumour resection |
title_sort | ankle fusion with centralisation of the fibula after distal tibia bone tumour resection |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033796/ https://www.ncbi.nlm.nih.gov/pubmed/24337812 http://dx.doi.org/10.1007/s10195-013-0279-2 |
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