title: Custom megaprosthetic replacement for proximal tibial tumours.
abstract: We analysed 133 patients treated with resection and endoprosthetic proximal tibial replacement from 1988 to 2000. Mean age was 22.3 years and osteosarcoma was the most common tumour. Average follow-up was 59.4 months. An excellent functional result was achieved in 63 patients and a good result in 36. The number of patients who had no evidence of disease was 102. Twenty-four patients died due to disease. Infection was the most common complication, followed by periprosthetic fracture and aseptic loosening. The 5-year limb survival rate was 85.5%.
authors.affiliation: Department of Orthopaedics and Traumatology, Madras Medical College and Research Institute, Government General Hospital, 600 003, Chennai, India. drmayil@bonetumour.org
authors.forename: Mayil Vahanan
authors.initials: MV
authors.lastname: Natarajan
authors.forename: A
authors.initials: A
authors.lastname: Sivaseelam
authors.forename: G
authors.initials: G
authors.lastname: Rajkumar
authors.forename: S H Jaheer
authors.initials: SH
authors.lastname: Hussain
mesh_terms: D000293:Adolescent; D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011474:Prosthesis Design; D011475:Prosthesis Failure; D019919:Prosthesis Implantation; D011859:Radiography; D013524:Surgical Flaps; D015996:Survival Rate; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome