Limb salvage for proximal tibial tumours using a modular prosthesis.
We report early results after the resection of proximal tibial tumours followed by reconstruction using a modular prosthesis. The indication for wide resection was a malignant tumour in 13 patients, and a neglected giant cell tumour in 2. There were no mechanical failures during an average follow-up of 3.5 years. However, there were 5 peroneal nerve palsies, 1 complete sciatic nerve palsy, 1 vascular injury leading to an above knee amputation, and 2 deep prosthetic infections. There were 2 superficial skin necroses and 1 fracture proximal to the femoral prosthetic component. The mean post-operative Musculo-Skeletal Tumour Society (MSTS) score in 12 patients who still had their prosthesis in situ was 18.3 out of a possible total of 30 (range: 10-28). Limb salvage surgery in the proximal tibia has a high early complication rate even with the use of modern implants and improved techniques.
Ilyas
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I
Department of Orthopedic Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Younge
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D
Pant
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Moreau
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P
D000293:Adolescent; D000328:Adult; D019645:Arthroplasty, Replacement, Knee; D001859:Bone Neoplasms / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation; D016879:Salvage Therapy; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome