Total resection of distal femur or proximal tibia for bone tumours. Autogenous bone grafts and arthrodesis in twenty-six cases.
Resection of the distal femur or proximal tibia en bloc has been performed on twenty-six patients with primary bone tumours. The gap was filled with autogenous bone grafts stabilised with a long intramedullary nail, thus arthrodesing the knee. In two cases temporary stabilisation with a Küntscher rod and acrylic cement was adopted because of adjuvant chemotherapy. Union was achieved in twenty-four cases (92 per cent). Infection was the main and practically the only major complication, occurring in five (19 per cent) of the cases: it healed with union in three, healed with non-union in one, and led to an above-knee amputation in the fifth case. Follow-up has been from one to eight years with an average of four years.
D000293:Adolescent; D000328:Adult; D001174:Arthrodesis / Q000379:methods; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016025:Bone Transplantation; D002648:Child; D002813:Chondrosarcoma / Q000601:surgery; D005260:Female; D005269:Femur / Q000601:surgery*; D005500:Follow-Up Studies; D005870:Giant Cell Tumors / Q000601:surgery*; D006393:Hemangiopericytoma / Q000601:surgery; D018219:Histiocytoma, Benign Fibrous / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012516:Osteosarcoma / Q000601:surgery*; D011859:Radiography; D013530:Surgical Wound Infection / Q000150:complications; D013977:Tibia / Q000601:surgery*; D014182:Transplantation, Autologous