OSTEOATICULAR ALLOGRAFTS FOR RECONSTRUCTION OF DEFECTS AFTER RESECTION OF PROXIMAL TIBIA TUMORS

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HAJALILOU SAMI S.; SADR HAMEDANI H.

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Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2004 | Volume:2 | Issue:4 (8) Page(s): 5-12

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Title

OSTEOATICULAR ALLOGRAFTS FOR RECONSTRUCTION OF DEFECTS AFTER RESECTION OF PROXIMAL TIBIA TUMORS

Author(s)

HAJALILOU SAMI S. | SADR HAMEDANI H. | Issue Writer Certificate

Keywords

TIBIAQ4

BONE NEOPLASMSQ4

ALLOGRAFTQ3

BONE GRAFTING SARCOMAQ3

Abstract

Background: Osteoatricular ALLOGRAFT is used to reconstruct a joint which has been resected for tumor involvement. Variable results of success have been reported. For proximal TIBIAl tumors, resection with a wide margin is possible. An osteoarticular ALLOGRAFT reconstruction can be used instead of: Fusion, amputation, rotation-plasty, ALLOGRAFT-prosthesis composite or tumor prosthesis replacement. This is a report of our experience with such a treatment. Materials and Methods: 25 patients were studied in case-series method. Osteoarticular ALLOGRAFT was used in 25 patients to reconstruct skeletal defect after resection of a tumor in the proximal end of the TIBIA. The status of each ALLOGRAFT and the condition of each involved limb was evaluated for an average of 18.5 month (Range 5-41) postoperatively. Status of ALLOGRAFT was evaluated according to the survival of the ALLOGRAFT and the occurrence of complications.Results: There complications occurred in association with 25 original ALLOGRAFTs that needed further surgery including infection (3 patients), non-union (1 patient), ALLOGRAFT fracture (3 patients), local recurrence which led to above knee amputation (5 patients), instability of joint (1 patient). There patients died, 2 due to distant metastasis and one due to septicemia. In the latest follow-up examination, 15 patients had retained the original ALLOGRAFT, 1 patient had a second ALLOGRAFT procedure, 5 had an above-knee amputation and one ALLOGRAFT was removed due to infection and replaced with spacer. Based on Mankin et al system the final results revealed an excellent or good in 16 and fair or failure in 9 patients. The mean MSTS score was 27 (90%) excluding 3 expired patients.Conclusion: Osteoarticular ALLOGRAFT reconstruction, despite it's high complication-in particular infect, and fracture-is a reasonable substitute for proximal TIBIAl tumor-resection defects.

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APA: Copy

HAJALILOU SAMI, S., & SADR HAMEDANI, H.. (2004). OSTEOATICULAR ALLOGRAFTS FOR RECONSTRUCTION OF DEFECTS AFTER RESECTION OF PROXIMAL TIBIA TUMORS. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 2(4 (8)), 5-12. SID. https://sid.ir/paper/85216/en

Vancouver: Copy

HAJALILOU SAMI S., SADR HAMEDANI H.. OSTEOATICULAR ALLOGRAFTS FOR RECONSTRUCTION OF DEFECTS AFTER RESECTION OF PROXIMAL TIBIA TUMORS. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2004;2(4 (8)):5-12. Available from: https://sid.ir/paper/85216/en

IEEE: Copy

S. HAJALILOU SAMI, and H. SADR HAMEDANI, “OSTEOATICULAR ALLOGRAFTS FOR RECONSTRUCTION OF DEFECTS AFTER RESECTION OF PROXIMAL TIBIA TUMORS,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 2, no. 4 (8), pp. 5–12, 2004, [Online]. Available: https://sid.ir/paper/85216/en

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