title: Distraction osteogenesis and arthrodesis as a new surgical option for chondrosarcoma in the distal tibia.
abstract: Recent advances in the management of bone tumors have led to a significant increase in the survival rates of patients with malignant bone tumors. Thus, limb salvage surgery has gained importance for preserving limb function in the management of bone tumors. However, surgery presents unique difficulties in terms of the biomechanics and obtaining a soft-tissue cover, such as when the ankle is involved in the primary malignant bone tumor. We report a case of chondrosarcoma of the distal tibia treated with wide en bloc resection arthrodesis and reconstruction of the defect using distraction osteogenesis, which offers an effective alternative protocol for limb salvage. The patient has remained disease free for 3 years since the initial surgery and can maintain normal limb athletic function.
authors.affiliation: Department of Orthopaedics, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283 Tongzipo Road, Changsha, Hunan, 410012, China. terryoy@126.com.
authors.forename: Zhengxiao
authors.initials: Z
authors.lastname: Ouyang
authors.affiliation: Department of Orthopaedics, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283 Tongzipo Road, Changsha, Hunan, 410012, China. xuxuezheng@hnszlyy.com.
authors.forename: Xuezheng
authors.initials: X
authors.lastname: Xu
authors.affiliation: Department of Orthopaedics, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283 Tongzipo Road, Changsha, Hunan, 410012, China. lilinqing@hnszlyy.com.
authors.forename: Linqing
authors.initials: L
authors.lastname: Li
authors.affiliation: Department of Orthopaedics, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283 Tongzipo Road, Changsha, Hunan, 410012, China. luoyi1241@hnszlyy.com.
authors.forename: Yi
authors.initials: Y
authors.lastname: Luo
authors.affiliation: Department of Orthopaedics, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283 Tongzipo Road, Changsha, Hunan, 410012, China. liujianfan@hnszlyy.com.
authors.forename: Jianfan
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Orthopaedics, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283 Tongzipo Road, Changsha, Hunan, 410012, China. wangxin@hnszlyy.com.
authors.forename: Xin
authors.initials: X
authors.lastname: Wang
authors.affiliation: Department of Orthopaedics, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283 Tongzipo Road, Changsha, Hunan, 410012, China. yaoxinyu@hnszlyy.com.
authors.forename: Xinyu
authors.initials: X
authors.lastname: Yao
authors.affiliation: Department of Orthopaedics, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283 Tongzipo Road, Changsha, Hunan, 410012, China. huanggang@hnszlyy.com.
authors.forename: Gang
authors.initials: G
authors.lastname: Huang
authors.affiliation: Department of Orthopaedics, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283 Tongzipo Road, Changsha, Hunan, 410012, China. lixianan2001@163.com.
authors.forename: Xianan
authors.initials: X
authors.lastname: Li
mesh_terms: D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D002813:Chondrosarcoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D023821:Limb Salvage; D008297:Male; D019857:Osteogenesis, Distraction; D011379:Prognosis; D013977:Tibia / Q000473:pathology / Q000601:surgery*; D055815:Young Adult