Telescope allograft method to reconstitute the diaphysis in limb salvage surgery Journal Article

   


Authors: Healey, J. H.; Abdeen, A.; Morris, C. D.; Athanasian, E. A.; Boland, P. J.
Article Title: Telescope allograft method to reconstitute the diaphysis in limb salvage surgery
Abstract: We propose a surgical technique for structural allograft reconstitution of the diaphysis of long bones, maximizing surface contact between host and allograft bone. This method, analogous to a telescope, overlaps the graft and host bone, theoretically increasing bone surface contact substantially. We report the outcome of 22 telescoped allograft junction sites in 19 patients who lacked sufficient host bone to accommodate a regular-length stemmed implant. This joint-sparing reconstruction preserved 15 of 16 adjacent joints at risk for replacement. Five patients needed additional surgery, but none for nonunion. The diaphyseal length could be reconstructed enough so that a short prosthesis (less than the critical 40% of total bone length) could be used. This biologic method to reconstruct major segments of the diaphysis is best suited for patients with quantitatively or qualitatively deficient residual bone stock after tumor resection or prosthetic revision. We believe it is an excellent technique for revision knee megaprostheses when there is a short remnant of proximal femur. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
Keywords: resection; reconstruction; tibia; total knee arthroplasty; bone-tumors; prosthetic composite; proximal; replacement
Journal Title: Clinical Orthopaedics and Related Research
Volume: 467
Issue: 7
ISSN: 0009-921X
Publisher: Springer  
Date Published: 2009-01-01
Start Page: 1813
End Page: 1819
Language: English
ACCESSION: ISI:000266652000024
DOI: 10.1007/s11999-008-0548-1
PROVIDER: wos
PMCID: PMC2690734
PUBMED: 18836787
Notes: --- - Proceedings Paper - "Source: Wos"
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MSK Authors
  1. Patrick J Boland
    160 Boland
  2. Edward A Athanasian
    75 Athanasian
  3. Carol Morris
    79 Morris
  4. Ayesha Abdeen
    4 Abdeen
  5. John H Healey
    547 Healey
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