Ilizarov method as limb salvage in treatment of massive femoral defect after unsuccessful tumor arthroplasty
Introduction. Surgical management of massive bone defects is very challenging in terms of estimating possibilities of saving the extremity and adequate method that can make it possible. Selection of methods is additionally limited in the presence of infection at site of defect. Case report....
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Military Health Department, Ministry of Defance, Serbia
2016-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600039R.pdf |
| Summary: | Introduction. Surgical management of massive bone defects is very challenging
in terms of estimating possibilities of saving the extremity and adequate
method that can make it possible. Selection of methods is additionally
limited in the presence of infection at site of defect. Case report. The
female patient, diagnosed with Ewing sarcoma was treated by segmental bone
resection and implantation of Kotz modular tumor endoprosthesis. After 5
years the signs of infection occured and persisted with low grade intensity.
After falling, 12 years following implantation, the patient acquired
periprosthetic fracture. Then endoprosthesis was removed, all along with
surgical debridement of wound and application of the Ilizarov apparatus. The
apparatus was applied, osteotomy of callus and the tibia performed with
transport of bone segments, untill reconstruction of defect and arthrodesis
of the knee was achieved. Conclusion. The Ilizarov apparatus offered us huge
possibilities for management of massive bone defects with natural bone which
has superior biomechanical characteristics comparing to the implant. The
most frequent complication of this method is a prolonged treatment period
that demands good patient selection and preparation and wide surgical
experience. |
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| ISSN: | 0042-8450 2406-0720 |