The Clinical Outcomes of Hemicortical Extracorporeal Irradiated Autologous Bone Graft After Tumor Resection of Bone and Soft Tissue Sarcoma

Abstract

Background/Aim: We analyzed the process of healing at osteotomy sites and timing of achievement of full weight-bearing in sarcoma patients who underwent hemicortical or intercalary reconstruction using the extracorporeal irradiated autologous bone graft technique. Patients and Methods: We studied 10 patients who had undergone tumor resection and reconstruction with hemicortical extracorporeal irradiated autologous bone graft at mid-shaft femur or tibia. The control group consisted of 30 patients who received the reconstruction using intercalary bone graft. Results: Full weight-bearing was achieved in all 10 patients at a median time of 4.8 months. Function was excellent in all patients. When comparing the clinical outcome among the patients who received intercalary and hemicortical grafts, the duration to full weight-bearing achievement in patients who received hemicortical graft was shorter than that in those with intercalary graft. Conclusion: Early full weight-bearing may be achieved in patients undergoing hemicortical resection and reconstruction using extracorporeal irradiated autologous bone graft.

3D printing guide plate for accurate hemicortical bone tumor resection in metaphysis of distal femoral: a technical note

“…Functional scores of the affected limbs after surgery were above 24 points in all patients, while patient satisfaction was very high. This finding is consistent with the recent reports by Japanese scholars [ 26 ] and also exceeds scores reported in a review by Dutch scholars [ 6 ]. Therefore, this surgical approach is effective for the removal of bone tumors and bone reconstruction.…”

3D Printing Guide Plate for Accurate Hemicortical Bone Resection in Low-Grade Bone Sarcoma

“…Functional scores of the affected limbs after surgery were above 24 points in all patients, while patient satisfaction was very high. This nding is consistent with the recent reports by Japanese scholars 37 and also exceeds scores reported in a review by Dutch scholars 9 . Therefore, this surgical approach is effective for the removal of bone tumors and bone reconstruction.…”

The clinical outcome of hemicortical resection in extremity malignant bone tumors

“…Our results showed six cases (14.2%) of local recurrence. Among six literatures on hemicortical resection performed in high‐grade bone tumors, Bus et al and Nakamura et al reported a local recurrence rate of 15% (15/97) and 10% (1/10), respectively 11,14 (Table 4.). Other four studies did not report any local recurrences 4,12,13,15 …”

“…According to comprehensive analysis of Bus et al, hemicortical resection was recommended in low grade bone tumors, not in high grade bone tumors due to its high local recurrence rate 11 . Recently, a few studies reported the utility of hemicortical resection in patients with high‐grade malignancies, and the results were not inferior to those in low‐grade malignancies 12–14 . We hypothesized that hemicortical resection is a safe procedure for primary malignant bone tumors of extremities.…”