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Wide resection and reconstruction in a low resource area, cemented nail technique knee arthrodesis; a report of case and surgical technique

INTRODUCTION AND IMPORTANCE: Osteosarcomas are primary malignant bone tumors that are driven from bone-forming mesenchymal cells and account for nearly 20 % of primary bone tumors. CASE PRESENTATION: A 16-year-old female presented with chief complaint of pain and swelling on her right knee for 6 mon...

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Autores principales: Elbahri, Hassan Mohammed Hassan, Abd-Elmaged, Hozifa Mohammed Ali, Abdulkarim, Mohamed, Ahmed, Mohammed Mubarak Mohammed, Medani, Mohamed Medani Elhag
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568732/
https://www.ncbi.nlm.nih.gov/pubmed/36152372
http://dx.doi.org/10.1016/j.ijscr.2022.107621
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author Elbahri, Hassan Mohammed Hassan
Abd-Elmaged, Hozifa Mohammed Ali
Abdulkarim, Mohamed
Ahmed, Mohammed Mubarak Mohammed
Medani, Mohamed Medani Elhag
author_facet Elbahri, Hassan Mohammed Hassan
Abd-Elmaged, Hozifa Mohammed Ali
Abdulkarim, Mohamed
Ahmed, Mohammed Mubarak Mohammed
Medani, Mohamed Medani Elhag
author_sort Elbahri, Hassan Mohammed Hassan
collection PubMed
description INTRODUCTION AND IMPORTANCE: Osteosarcomas are primary malignant bone tumors that are driven from bone-forming mesenchymal cells and account for nearly 20 % of primary bone tumors. CASE PRESENTATION: A 16-year-old female presented with chief complaint of pain and swelling on her right knee for 6 months with history of trauma. Her knee mobility and ROM was limited due to pain and the mass. Physical examination revealed a 15 × 22 cm mass on distal part of right femur with visible dilated veins. There was normal distal motor, sensory functions. Imaging revealed distal femur mass with mixed lytic and blastic features, wide transitional zone with hair and periosteal reaction; features suggestive of osteosarcoma that was confirmed by histopathological examinations as intramedullary osteosarcoma. She undergone surgical treatment consisting of surgical excision of the mass with safety margins and knee reconstruction by knee arthrodesis using femoral-nail and bone cement technique with excellent outcome. CLINICAL DISCUSSION: Osteosarcoma is best investigated through plain imaging, MRI and possible CT with histology being confirmatory. It is best approached with meticulous dissection to ensure clear margins or if necessary, amputation. Following resection, reconstruction can be done. In this specific case, the tumor was on the distal femur and the underlying knee was arthrodesed using cemented nail technique in which a cemented intramedullary nail was inserted with excellent clinical outcome. CONCLUSION: Surgical approach to osteosarcoma can be performed through limb salvage or amputation. Arthrodesis with cemented nail technique using an intramedullary nail can be performed in some patients with excellent clinical outcome.
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spelling pubmed-95687322022-10-16 Wide resection and reconstruction in a low resource area, cemented nail technique knee arthrodesis; a report of case and surgical technique Elbahri, Hassan Mohammed Hassan Abd-Elmaged, Hozifa Mohammed Ali Abdulkarim, Mohamed Ahmed, Mohammed Mubarak Mohammed Medani, Mohamed Medani Elhag Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Osteosarcomas are primary malignant bone tumors that are driven from bone-forming mesenchymal cells and account for nearly 20 % of primary bone tumors. CASE PRESENTATION: A 16-year-old female presented with chief complaint of pain and swelling on her right knee for 6 months with history of trauma. Her knee mobility and ROM was limited due to pain and the mass. Physical examination revealed a 15 × 22 cm mass on distal part of right femur with visible dilated veins. There was normal distal motor, sensory functions. Imaging revealed distal femur mass with mixed lytic and blastic features, wide transitional zone with hair and periosteal reaction; features suggestive of osteosarcoma that was confirmed by histopathological examinations as intramedullary osteosarcoma. She undergone surgical treatment consisting of surgical excision of the mass with safety margins and knee reconstruction by knee arthrodesis using femoral-nail and bone cement technique with excellent outcome. CLINICAL DISCUSSION: Osteosarcoma is best investigated through plain imaging, MRI and possible CT with histology being confirmatory. It is best approached with meticulous dissection to ensure clear margins or if necessary, amputation. Following resection, reconstruction can be done. In this specific case, the tumor was on the distal femur and the underlying knee was arthrodesed using cemented nail technique in which a cemented intramedullary nail was inserted with excellent clinical outcome. CONCLUSION: Surgical approach to osteosarcoma can be performed through limb salvage or amputation. Arthrodesis with cemented nail technique using an intramedullary nail can be performed in some patients with excellent clinical outcome. Elsevier 2022-09-14 /pmc/articles/PMC9568732/ /pubmed/36152372 http://dx.doi.org/10.1016/j.ijscr.2022.107621 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Elbahri, Hassan Mohammed Hassan
Abd-Elmaged, Hozifa Mohammed Ali
Abdulkarim, Mohamed
Ahmed, Mohammed Mubarak Mohammed
Medani, Mohamed Medani Elhag
Wide resection and reconstruction in a low resource area, cemented nail technique knee arthrodesis; a report of case and surgical technique
title Wide resection and reconstruction in a low resource area, cemented nail technique knee arthrodesis; a report of case and surgical technique
title_full Wide resection and reconstruction in a low resource area, cemented nail technique knee arthrodesis; a report of case and surgical technique
title_fullStr Wide resection and reconstruction in a low resource area, cemented nail technique knee arthrodesis; a report of case and surgical technique
title_full_unstemmed Wide resection and reconstruction in a low resource area, cemented nail technique knee arthrodesis; a report of case and surgical technique
title_short Wide resection and reconstruction in a low resource area, cemented nail technique knee arthrodesis; a report of case and surgical technique
title_sort wide resection and reconstruction in a low resource area, cemented nail technique knee arthrodesis; a report of case and surgical technique
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568732/
https://www.ncbi.nlm.nih.gov/pubmed/36152372
http://dx.doi.org/10.1016/j.ijscr.2022.107621
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