title: Biological reconstruction after excision, irradiation and reimplantation of diaphyseal tibial tumours using an ipsilateral vascularised fibular graft.
abstract: The purpose of this study was to assess the outcome   of 15 patients (mean age 13.6 years (7 to 25)) with a primary sarcoma   of the tibial diaphysis who had undergone excision of the affected   segment that was then irradiated (90 Gy) and reimplanted with an   ipsilateral vascularised fibular graft within it. The mean follow-up was 57 months (22 to 99). The mean time to   full weight-bearing was 23 weeks (9 to 57) and to complete radiological   union 42.1 weeks (33 to 55). Of the 15 patients, seven required   a further operation, four to obtain skin cover. The mean Musculoskeletal   Society Tumor Society functional score at final follow-up was 27   out of 30 once union was complete. The functional results were comparable   with those of allograft reconstruction and had a similar rate of   complication. We believe this to be a satisfactory method of biological reconstruction   of the tibial diaphysis in selected patients.
authors.affiliation: Maisonneuve-Rosemont Hospital, Montreal H1T 4B3, Canada.
authors.forename: S
authors.initials: S
authors.lastname: Mottard
authors.forename: R J
authors.initials: RJ
authors.lastname: Grimer
authors.forename: A
authors.initials: A
authors.lastname: Abudu
authors.forename: S R
authors.initials: SR
authors.lastname: Carter
authors.forename: R M
authors.initials: RM
authors.lastname: Tillman
authors.forename: L
authors.initials: L
authors.lastname: Jeys
authors.forename: D
authors.initials: D
authors.lastname: Spooner
mesh_terms: D000293:Adolescent; D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D059248:Chemoradiotherapy; D002648:Child; D003161:Compartment Syndromes / Q000209:etiology; D018483:Diaphyses / Q000601:surgery*; D018572:Disease-Free Survival; D005260:Female; D005360:Fibula / Q000098:blood supply* / Q000637:transplantation*; D005500:Follow-Up Studies; D005599:Fractures, Ununited / Q000209:etiology; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D015996:Survival Rate; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult