Method of quadriceps attachment following upper tibial resection.
Limb salvage procedures for osteosarcomas of the upper tibia present combined problems of knee-joint and tibial reconstruction. Many methods of overcoming this have been described. We describe a new technique of prosthetic knee-joint and upper-tibial reconstruction, combined with a vascularized fibular bone flap for reattachment of the quadriceps muscle and tendon unit, resulting in superior long-term function.
Department of Plastic and Maxillofacial Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia. chris@sothernplasticsurgery.com.au
Christopher J
CJ
Coombs
Mark
M
O'Sullivan
Richard
R
Theile
Sze C
SC
Tan
D000293:Adolescent; D001186:Artificial Limbs; D001859:Bone Neoplasms / Q000601:surgery*; D005360:Fibula / Q000637:transplantation; D006801:Humans; D023821:Limb Salvage / Q000379:methods; D008297:Male; D012516:Osteosarcoma / Q000601:surgery*; D019919:Prosthesis Implantation / Q000379:methods*; D052097:Quadriceps Muscle / Q000601:surgery*; D013524:Surgical Flaps; D013977:Tibia