Endoprosthetic reconstruction of the distal tibia and ankle joint after resection of primary bone tumours
Endoprosthetic replacement of the distal tibia and ankle joint for a primary bone tumour is a rarely attempted and technically challenging procedure. We report the outcome of six patients treated between 1981 and 2007. There were four males and two females, with a mean age of 43.5 years (15 to 75),...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 2009-10, Vol.91 (10), p.1378-1382 |
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| container_title | Journal of bone and joint surgery. British volume |
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| creator | SHEKKERIS, A. S HANNA, S. A SEWELL, M. D SPIEGELBERG, B. G. I ASTON, W. J. S BLUNN, G. W CANNON, S. R BRIGGS, T. W. R |
| description | Endoprosthetic replacement of the distal tibia and ankle joint for a primary bone tumour is a rarely attempted and technically challenging procedure. We report the outcome of six patients treated between 1981 and 2007. There were four males and two females, with a mean age of 43.5 years (15 to 75), and a mean follow-up of 9.6 years (1 to 27). No patient developed a local recurrence or metastasis. Two of the six went on to have a below-knee amputation for persistent infection after a mean 16 months (1 to 31). The four patients who retained their endoprosthesis had a mean musculoskeletal tumour society score of 70% and a mean Toronto extremity salvage score of 71%. All were pain free and able to perform most activities of daily living in comfort. A custom-made endoprosthetic replacement of the distal tibia and ankle joint is a viable treatment option for carefully selected patients with a primary bone tumour. Patients should, however, be informed of the risk of infection and the potential need for amputation if this cannot be controlled. |
| doi_str_mv | 10.1302/0301-620X.91B10.22643 |
| format | Article |
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S ; HANNA, S. A ; SEWELL, M. D ; SPIEGELBERG, B. G. I ; ASTON, W. J. S ; BLUNN, G. W ; CANNON, S. R ; BRIGGS, T. W. R</creator><creatorcontrib>SHEKKERIS, A. S ; HANNA, S. A ; SEWELL, M. D ; SPIEGELBERG, B. G. I ; ASTON, W. J. S ; BLUNN, G. W ; CANNON, S. R ; BRIGGS, T. W. R</creatorcontrib><description>Endoprosthetic replacement of the distal tibia and ankle joint for a primary bone tumour is a rarely attempted and technically challenging procedure. We report the outcome of six patients treated between 1981 and 2007. There were four males and two females, with a mean age of 43.5 years (15 to 75), and a mean follow-up of 9.6 years (1 to 27). No patient developed a local recurrence or metastasis. Two of the six went on to have a below-knee amputation for persistent infection after a mean 16 months (1 to 31). The four patients who retained their endoprosthesis had a mean musculoskeletal tumour society score of 70% and a mean Toronto extremity salvage score of 71%. All were pain free and able to perform most activities of daily living in comfort. A custom-made endoprosthetic replacement of the distal tibia and ankle joint is a viable treatment option for carefully selected patients with a primary bone tumour. Patients should, however, be informed of the risk of infection and the potential need for amputation if this cannot be controlled.</description><identifier>ISSN: 0301-620X</identifier><identifier>EISSN: 2044-5377</identifier><identifier>DOI: 10.1302/0301-620X.91B10.22643</identifier><identifier>PMID: 19794176</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Adolescent ; Adult ; Aged ; Amputation ; Ankle Joint - diagnostic imaging ; Ankle Joint - physiopathology ; Ankle Joint - surgery ; Arthroplasty, Replacement - methods ; Biological and medical sciences ; Bone Neoplasms - diagnostic imaging ; Bone Neoplasms - physiopathology ; Bone Neoplasms - surgery ; Diseases of the osteoarticular system ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Osteosarcoma - diagnostic imaging ; Osteosarcoma - physiopathology ; Osteosarcoma - surgery ; Prosthesis Design ; Radiography ; Range of Motion, Articular ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tibia - diagnostic imaging ; Tibia - physiopathology ; Tibia - surgery ; Treatment Outcome ; Tumors of striated muscle and skeleton ; Young Adult</subject><ispartof>Journal of bone and joint surgery. 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D</creatorcontrib><creatorcontrib>SPIEGELBERG, B. G. I</creatorcontrib><creatorcontrib>ASTON, W. J. S</creatorcontrib><creatorcontrib>BLUNN, G. W</creatorcontrib><creatorcontrib>CANNON, S. R</creatorcontrib><creatorcontrib>BRIGGS, T. W. R</creatorcontrib><title>Endoprosthetic reconstruction of the distal tibia and ankle joint after resection of primary bone tumours</title><title>Journal of bone and joint surgery. British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>Endoprosthetic replacement of the distal tibia and ankle joint for a primary bone tumour is a rarely attempted and technically challenging procedure. We report the outcome of six patients treated between 1981 and 2007. There were four males and two females, with a mean age of 43.5 years (15 to 75), and a mean follow-up of 9.6 years (1 to 27). No patient developed a local recurrence or metastasis. Two of the six went on to have a below-knee amputation for persistent infection after a mean 16 months (1 to 31). The four patients who retained their endoprosthesis had a mean musculoskeletal tumour society score of 70% and a mean Toronto extremity salvage score of 71%. All were pain free and able to perform most activities of daily living in comfort. A custom-made endoprosthetic replacement of the distal tibia and ankle joint is a viable treatment option for carefully selected patients with a primary bone tumour. Patients should, however, be informed of the risk of infection and the potential need for amputation if this cannot be controlled.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Amputation</subject><subject>Ankle Joint - diagnostic imaging</subject><subject>Ankle Joint - physiopathology</subject><subject>Ankle Joint - surgery</subject><subject>Arthroplasty, Replacement - methods</subject><subject>Biological and medical sciences</subject><subject>Bone Neoplasms - diagnostic imaging</subject><subject>Bone Neoplasms - physiopathology</subject><subject>Bone Neoplasms - surgery</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Osteosarcoma - diagnostic imaging</subject><subject>Osteosarcoma - physiopathology</subject><subject>Osteosarcoma - surgery</subject><subject>Prosthesis Design</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tibia - diagnostic imaging</subject><subject>Tibia - physiopathology</subject><subject>Tibia - surgery</subject><subject>Treatment Outcome</subject><subject>Tumors of striated muscle and skeleton</subject><subject>Young Adult</subject><issn>0301-620X</issn><issn>2044-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtOAyEUhonRaL08goaNcTWVO52lmnpJTNxo4o4AAxGdDhWYhW8vrZO6ICc55_uB8wFwjtEcU0SuEUW4EQS9z1t8W5uECEb3wIwgxhpOpdwHsx1zBI5z_kQIMc7pITjCrWwZlmIGwnLo4jrFXD5cCRYmZ-OQSxptCXGA0cM6gF3IRfewBBM01ENXz1fv4GcMQ4HaF5dqMLtdZp3CSqcfaOLgYBlXcUz5FBx43Wd3NtUT8Ha_fL17bJ5fHp7ubp4bS-miNIZ4Zo0wHFkunbMeGe2wNZ3knhpJW1YbHTaacLFgzEqxwL7jljDaYU8IPQFXf_fWrb5Hl4tahWxd3-vBxTErSamoJlpRSf5H2rp_Ts6r6d8KI7WRrDYC1Uag2kpWW8k1dzG9MJqV6_5Tk9UKXE6Azlb3PunBhrzjCEFIiIWgv9_lh0I</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>SHEKKERIS, A. 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| subjects | Adolescent Adult Aged Amputation Ankle Joint - diagnostic imaging Ankle Joint - physiopathology Ankle Joint - surgery Arthroplasty, Replacement - methods Biological and medical sciences Bone Neoplasms - diagnostic imaging Bone Neoplasms - physiopathology Bone Neoplasms - surgery Diseases of the osteoarticular system Female Humans Male Medical sciences Middle Aged Orthopedic surgery Osteosarcoma - diagnostic imaging Osteosarcoma - physiopathology Osteosarcoma - surgery Prosthesis Design Radiography Range of Motion, Articular Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tibia - diagnostic imaging Tibia - physiopathology Tibia - surgery Treatment Outcome Tumors of striated muscle and skeleton Young Adult |
| title | Endoprosthetic reconstruction of the distal tibia and ankle joint after resection of primary bone tumours |
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