Total tibial endoprosthesis including ankle joint and knee joint replacement in a patient with Ewing sarcoma

Treatment of primary malignant bone tumours of the distal tibia

“…The inclusion of a trans-talar and trans-calcaneal stem improves primary rotational stability. This may secondarily improve osteointegration [8]. Results with the distal tibial endoprosthesis from MUTARS are promising [8], and prosthesis is therefore recommended for adult patients.…”

“…Three patients were treated with allograft alone (group C), of which one was a total tibial allograft. Two patients were treated with fibula transfer alone (group D), and one patient was treated with a modular endoprosthesis of the MUTARS-System (group E) [8].…”

“…A tumour prosthesis replacing the ankle joint is commercially available, but there are few reports detailing endoprosthetic replace-ment. Prosthetics allow quick functional recovery and maintains ankle joint movement [1,8,11]. However, as with all prostheses, there is a risk of loosening and problems with talar collapse.…”

Total tibia replacement using an allograft (in a patient with adamantinoma). Case report and review of literature

“…In the case described by Gosheger et al (2005), the postoperative and late outcome showed good results. The limb could be saved and successful functioning was subsequently achieved for 3 years.…”

“…These days an interesting alternative to the implantation of a total tibia allograft might be the MUTARS ® Prosthesis system (Implantcast, Buxtehude, Germany). Gosheger et al (2005) used this method as an alternative to total tibia allograft and endoprosthetic replacement of the complete tibia. It includes an ankle joint and knee joint reconstruction with rotating-hinged knee prosthesis and a custom-made talar surface component, which is stabilized with a trans-talar and trans-calcanear stem.…”