title: Below-knee amputation through a joint-sparing proximal tibial replacement for recurrent tumour.
abstract: We report a case which highlights the progression of osteofibrous dysplasia to adamantinoma and questions whether intralesional curettage is the appropriate treatment. The role of a joint-sparing massive endoprosthesis using cortical fixation is demonstrated and we describe a unique biomedical design which resulted in the manufacture of an end cap to allow amputation through a custom-made proximal tibial replacement, rather than an above-knee amputation following recurrence.
authors.affiliation: Royal National Orthopaedic Hospital NHS Trust, Stanmore, Middlesex, UK. benspiegelberg@doctors.net.uk
authors.forename: B G I
authors.initials: BG
authors.lastname: Spiegelberg
authors.forename: B G I
authors.initials: BG
authors.lastname: Speigelberg
authors.forename: M D
authors.initials: MD
authors.lastname: Sewell
authors.forename: T
authors.initials: T
authors.lastname: Coltman
authors.forename: G W
authors.initials: GW
authors.lastname: Blunn
authors.forename: A M
authors.initials: AM
authors.lastname: Flanagan
authors.forename: S R
authors.initials: SR
authors.lastname: Cannon
authors.forename: T W R
authors.initials: TW
authors.lastname: Briggs
mesh_terms: D050398:Adamantinoma / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000671:Amputation, Surgical / Q000379:methods*; D001848:Bone Diseases, Developmental / Q000473:pathology / Q000601:surgery*; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D003937:Diagnosis, Differential; D018450:Disease Progression; D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D010146:Pain / Q000601:surgery; D012865:Skiing / Q000293:injuries; D013978:Tibial Fractures / Q000150:complications