Allograft Prosthetic Composite Arthroplasty for Osteosarcoma and Other Aggressive Bone Tumors

Gitelis, Steven; Piasecki, Patricia

doi:10.1097/00003086-199109000-00026

Cited by 100 publications

(73 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Delayed union and nonunion are persistent problems with APC reconstructions (15%-30%), often necessitating supplemental bone graft procedures or revision of the entire alloprosthetic construct [2,4,5,7,8]. Because nonunion or delayed union is one of the main disadvantages of large structural allografts, reportedly 17% and 56%, respectively [1,10], avoiding this common problem is desirable.…”

Section: Discussionmentioning

confidence: 99%

Telescope Allograft Method to Reconstitute the Diaphysis in Limb Salvage Surgery

Healey

Abdeen

Morris

et al. 2009

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Telescope Allograft Method to Reconstitute the Diaphysis in Limb Salvage Surgery

Healey

Abdeen

Morris

et al. 2009

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Each author certifies that his or her institution has approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research. available solution because it combines the advantages of a homoplastic osteoarticular graft, biologic insertion of the soft tissues, with those of a prosthesis, articular stability and absence of fractures, while at the same time preserving good range of movement in the knee [12,18]. For this reason, in 1994, we began to use this reconstructive technique in patients with bone tumors located in the proximal tibia.…”

Section: Introductionmentioning

confidence: 99%

Allograft-Prosthetic Composite in the Proximal Tibia After Bone Tumor Resection

Donati

Colangeli

et al. 2008

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Allograft-endoprosthesis composites are an alternative to endoprosthetic reconstruction. But the high incidence of complications such as fracture, deformity and infection, makes the outcome unpredictable [5,12,15].…”

Section: Discussionmentioning

confidence: 99%

A novel approach to juxta-articular aggressive and recurrent giant cell tumours: resection arthrodesis using bone transport over an intramedullary nail

Vidyadhara

Rao

2006

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

A novel approach to juxta-articular aggressive and recurrent giant cell tumours: resection arthrodesis using bone transport over an intramedullary nail Abstract Aggressive juxta-articular giant cell tumours of the lower limbs occurring in young patients are a challenge to the average orthopaedic surgeon. Although it is the treatment of choice for these tumours, wide resection creates a problem for the reconstruction of large bone gaps. We describe our results after resection arthrodesis of such tumours using the technique of bone transport over a long intramedullary nail in 27 patients. This is the first and largest study of its kind in the management of giant cell tumours in the literature. All our patients fared well with this mode of treatment, and none had recurrence or major complications.

show abstract

Allograft Prosthetic Composite Arthroplasty for Osteosarcoma and Other Aggressive Bone Tumors

Cited by 100 publications

References 0 publications

Telescope Allograft Method to Reconstitute the Diaphysis in Limb Salvage Surgery

Telescope Allograft Method to Reconstitute the Diaphysis in Limb Salvage Surgery

Allograft-Prosthetic Composite in the Proximal Tibia After Bone Tumor Resection

A novel approach to juxta-articular aggressive and recurrent giant cell tumours: resection arthrodesis using bone transport over an intramedullary nail

Contact Info

Product

Resources

About