Palliative Limb Salvage Using a Retrograde Nail-Cement Composite after Intercalary Resection of a Distal Femoral Osteosarcoma: A Case Report
Malignant lower-limb metaphyseal and diaphyseal bone tumours that have not yet invaded the epiphysis can usually be managed with limb-sparing surgery. Reconstructions using intercalary allografts, autoclaved autografts, extracorporeally irradiated autografts, vascularised autografts, and distraction...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2009-12-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949900901700329 |
| _version_ | 1819148333106593792 |
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| author | Piya Kiatisevi Kiat Witoonchart Narongchai Pattarabanjird Phairat Thuvasethakul |
| author_facet | Piya Kiatisevi Kiat Witoonchart Narongchai Pattarabanjird Phairat Thuvasethakul |
| author_sort | Piya Kiatisevi |
| collection | DOAJ |
| description | Malignant lower-limb metaphyseal and diaphyseal bone tumours that have not yet invaded the epiphysis can usually be managed with limb-sparing surgery. Reconstructions using intercalary allografts, autoclaved autografts, extracorporeally irradiated autografts, vascularised autografts, and distraction osteogenesis have all achieved favourable results. In patients with metastatic disease and a short life expectancy, reconstruction with allografts or autografts should be carefully considered because a long recovery period is needed. An intercalary endoprosthesis provides immediate stability, a short recovery period and a low implant failure rate. Nonetheless, it may be expensive when there is inadequate space for stem insertion, necessitating a custom-made endoprosthesis. We present a 12-year-old boy with stage-III osteosarcoma of the metaphysis and diaphysis of the femur who underwent knee joint salvage and reconstruction with a retrograde, locked, intramedullary nail surrounded with methylmethacrylate. At the one-month follow-up, the patient could walk unassisted. At the 2-year follow-up, his Musculoskeletal Tumor Society score was 83%. The patient died from lung metastases at 31 months. He had not experienced any complications with the reconstruction. |
| first_indexed | 2024-12-22T13:44:02Z |
| format | Article |
| id | doaj.art-94a6dd2f934b4cc98144fe2b65e86490 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-22T13:44:02Z |
| publishDate | 2009-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-94a6dd2f934b4cc98144fe2b65e864902022-12-21T18:23:50ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902009-12-011710.1177/230949900901700329Palliative Limb Salvage Using a Retrograde Nail-Cement Composite after Intercalary Resection of a Distal Femoral Osteosarcoma: A Case ReportPiya KiatiseviKiat WitoonchartNarongchai PattarabanjirdPhairat ThuvasethakulMalignant lower-limb metaphyseal and diaphyseal bone tumours that have not yet invaded the epiphysis can usually be managed with limb-sparing surgery. Reconstructions using intercalary allografts, autoclaved autografts, extracorporeally irradiated autografts, vascularised autografts, and distraction osteogenesis have all achieved favourable results. In patients with metastatic disease and a short life expectancy, reconstruction with allografts or autografts should be carefully considered because a long recovery period is needed. An intercalary endoprosthesis provides immediate stability, a short recovery period and a low implant failure rate. Nonetheless, it may be expensive when there is inadequate space for stem insertion, necessitating a custom-made endoprosthesis. We present a 12-year-old boy with stage-III osteosarcoma of the metaphysis and diaphysis of the femur who underwent knee joint salvage and reconstruction with a retrograde, locked, intramedullary nail surrounded with methylmethacrylate. At the one-month follow-up, the patient could walk unassisted. At the 2-year follow-up, his Musculoskeletal Tumor Society score was 83%. The patient died from lung metastases at 31 months. He had not experienced any complications with the reconstruction.https://doi.org/10.1177/230949900901700329 |
| spellingShingle | Piya Kiatisevi Kiat Witoonchart Narongchai Pattarabanjird Phairat Thuvasethakul Palliative Limb Salvage Using a Retrograde Nail-Cement Composite after Intercalary Resection of a Distal Femoral Osteosarcoma: A Case Report Journal of Orthopaedic Surgery |
| title | Palliative Limb Salvage Using a Retrograde Nail-Cement Composite after Intercalary Resection of a Distal Femoral Osteosarcoma: A Case Report |
| title_full | Palliative Limb Salvage Using a Retrograde Nail-Cement Composite after Intercalary Resection of a Distal Femoral Osteosarcoma: A Case Report |
| title_fullStr | Palliative Limb Salvage Using a Retrograde Nail-Cement Composite after Intercalary Resection of a Distal Femoral Osteosarcoma: A Case Report |
| title_full_unstemmed | Palliative Limb Salvage Using a Retrograde Nail-Cement Composite after Intercalary Resection of a Distal Femoral Osteosarcoma: A Case Report |
| title_short | Palliative Limb Salvage Using a Retrograde Nail-Cement Composite after Intercalary Resection of a Distal Femoral Osteosarcoma: A Case Report |
| title_sort | palliative limb salvage using a retrograde nail cement composite after intercalary resection of a distal femoral osteosarcoma a case report |
| url | https://doi.org/10.1177/230949900901700329 |
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