Joint preserving tibial shaft trifocal reconstruction with balanced cable bone transport after tumor resection Book Section
| Authors: | Klima, M. F.; Prince, D. E. |
| Editors: | Rozbruch, S. R.; Fragomen, A. T.; Hamdy, R. C.; Bernstein, M. |
| Article/Chapter Title: | Joint preserving tibial shaft trifocal reconstruction with balanced cable bone transport after tumor resection |
| Abstract: | Reconstruction after an extensive primary osseous tumor resection of the tibia poses significant challenges given proximity to the physis, articular surface, adjacent joints, tendon insertions, and/or ligamentous attachments, as well as the superficial location of the tibia bone in relation to the skin with minimal soft tissue. Traditionally, most patients undergo limb salvage surgery with endoprosthetic or allograft reconstructions, but some patients are eligible for joint preserving reconstructions. Advances in diagnostic imaging accuracy have permitted joint preservation to be pursued with the goal of optimizing long-term function and decreasing long-term need for prosthetic revision. Bone regenerative procedures, such as distraction osteogenesis, when coupled with external fixation and cable lengthening techniques, offer promising options to achieve this goal safely and consistently despite the numerous obstacles. This case report presents the use of these techniques for a massive 27 cm tibia bone resection of an adamantinoma with preservation of the knee and ankle joint. © Springer Nature Switzerland AG 2015, 2024. |
| Book Title: | Limb Lengthening and Reconstruction Surgery Case Atlas. 2nd ed |
| ISBN: | 978-3-031-77356-3 |
| Publisher: | Springer Nature |
| Publication Place: | Cham, Switzerland |
| Date Published: | 2024-01-01 |
| Start Page: | 859 |
| End Page: | 865 |
| Language: | English |
| DOI: | 10.1007/978-3-031-77357-0_434 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Book chapter: 129 -- Source: Scopus |
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