ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019
Microsurgical reconstruction with vascularized fibula and massive bone allograft for bone tumors.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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34 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Union, complication, reintervention and failure rates of surgical techniques for large diaphyseal defects: a systematic review and meta-analysis.Scientific reports · 2022Pooled it
- Article
- Outcome of Reconstruction with Irradiated Tumour Bone in Paediatric Malignant Bone Tumours.Indian journal of surgical oncology · 2025Article
- [Research progress in repair and reconstruction of tumor-related bone defects in proximal femur].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
- Article
- Graft Infections in Biologic Reconstructions in the Oncologic Setting: A Systematic Review of the Literature.Journal of clinical medicine · 2024Review
- First-ever ankle arthrodesis with the Capanna technique in an infected open fracture.JPRAS open · 2024Article
- Outcome of Endoprosthesis used in Limb Salvage Surgery in a Malaysian Orthopaedic Oncology Centre.Malaysian orthopaedic journal · 2024Article
- An algorithm for surgical treatment of children with bone sarcomas of the extremities.SICOT-J · 2024Article
- Outcomes of management of primary benign aggressive or malignant bone tumors around the elbow by limb-salvage surgery.Journal of experimental orthopaedics · 2023Article
- Treatment of a case of septic tibial nonunion by the Capanna technique.Trauma case reports · 2023Article
- Reconstruction of a 3D-printed endoprosthesis after joint-preserving surgery with intraoperative physeal distraction for childhood malignancies of the distal femur.Journal of orthopaedic surgery and research · 2023Article
- Hydroxyapatite-chitosan composites derived from sea cucumbers and shrimp shells ameliorate femoral bone defects in an albino rat model.Veterinary world · 2023Article
- Ewing's sarcoma of proximal femur: case report of extreme osteotomy with 3D-printed prosthesis for the reconstruction.Frontiers in bioengineering and biotechnology · 2023Article
- Joint-preservation surgery for bone sarcoma in adolescents and young adults.International journal of clinical oncology · 2023Review
- Long-Term Follow-Up of Biological Reconstruction with Free Fibular Graft after Resection of Extremity Diaphyseal Bone Tumors.Journal of clinical medicine · 2022Article
- Is the Capanna Technique a Reliable Method for Revision Surgery after Failure of Previous Limb-Salvage Surgery?Annals of surgical oncology · 2022Article
- Hip-preserving reconstruction using a customized cemented femoral endoprosthesis with a curved stem in patients with short proximal femur segments: Mid-term follow-up outcomes.Frontiers in surgery · 2022Article
- A comparison of cemented and cementless intra-neck curved stem use during hip-preserving reconstruction following massive femoral malignant tumor removal.Frontiers in oncology · 2022Article
- Cell Sheet Technology as an Engineering-Based Approach to Bone Regeneration.International journal of nanomedicine · 2022Review
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Authors and funding
4 authors at 2 institutions in 1 country.
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Abstract
introductionCombining massive bone allograft and vascularized fibula in intercalary reconstruction following resection of bone tumors represents a complex reconstructive procedure that requires specialists in microvascular surgery as well as orthopedic surgery. The purpose of our study was to examine the outcomes using this surgical technique in patients with bone tumors in terms of oncologic results, complications related to surgery, Musculoskeletal Tumor Society (MSTS) scores and duration of surgery. MATERIALS AND
methodsWe analyzed 81 patients with femoral or tibial sarcomas who underwent intercalary resection and microsurgical reconstruction with massive bone allograft and vascularized fibula. There were 56 boys and 25 girls with a mean age of 13.4 years at the time of surgery. The patients' medical records were reviewed for clinical and functional outcomes as well as postoperative complications. The study group was comprised of 33 patients who underwent reconstruction of the femur with massive bone allograft and free vascularized fibula and 48 patients who underwent reconstruction of the tibia with massive bone allograft and free or pedicle vascularized fibula. The mean length of resection was 15.9 cm (8-31 cm). The functional evaluation of the patients was done at the end of the follow-up using MSTS score for the lower limb. All patients had at least a 2-year follow-up.
resultsThe overall limb salvage rate was 94%, although many patients required re-operation after the procedure. Complications occurred in 24 patients, 18 of which underwent additional surgical procedures. They included fractures of the massive bone allograft-vascularized fibula construct with or without implant failure (19) and deep infection (5). After surgical or conservative treatment, all the fractures successfully healed. The overall MSTS functional score was good to excellent in 91% of patients.
conclusionsThe combination of massive bone allograft and vascularized fibula seems to be a reasonable option for reconstruction of diaphyseal defects following intercalary resection of bone tumors. Although there was a high rate of complications and therefore re-operations, the biology of vascularized fibula was able to save the reconstruction in most of the cases that had complications.
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