ArticleActa ortopedica brasileira2023
RESECTION OF ANKLE TUMOR LESION AND RECONSTRUCTION WITH THE USE OF ALLOGRAFT.
Article in Acta ortopedica brasileira, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed, 1 citations in OpenAlex.
- Predictors of malignancy in surgically removed foot and ankle masses: a retrospective multi-center study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
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8 authors at 1 institution in 1 country.
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Abstract
Reconstruction of the distal third of the tibia due to resection of a malignant tumor has some hindering factors, such as a thin subcutaneous layer, neurovascular bundles that cross compartments, prolonged operative duration, specific orthopedic material, and a trained multidisciplinary team. Allografting with material from tissue banks is part of this orthopaedic arsenal.
objectiveTo describe the protocol used at Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad.
methodsSeries of six cases subjected to resection with oncologic margins, allograft reconstruction, and use of a retrograde ankle nail as limb-salvage surgery. Three of the six patients were women, the lesions were on average 9.3 cm long, and the average operative duration was 3.25 hours.
resultsThe main short-term complication (≤ 30 days) was peroneal nerve palsy, while the main long-term complication (> 30 days) was surgical site infection (two cases). Consolidation of the two foci occurred in three patients, and two patients developed asymptomatic pseudoarthrosis of the proximal focus with consolidation of the distal focus.
conclusionDespite the complications, the proposed surgery gives patients the chance to preserve their limb in the face of immediate radical surgery.
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