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Published in: Archives of Orthopaedic and Trauma Surgery 10/2006

01-12-2006 | Case Report

A particular solution in the treatment of primitive neoplasms of the distal third of the tibia. Presentation of a clinical case and review of the literature

Authors: G. Maccauro, F. Liuzza, F. Muratori, G. Gosheger, M. Salgarello, C. A. Logroscino

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2006

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Abstract

Primitive malignant neoplasms affecting the distal third of the tibia are altogether rare, and their treatment is considerably controversial. The authors describe the diagnostic procedure and a particular surgical strategy of limb salvage in a case of malignant fibrous histiocytoma located at the distal third of the tibia, in particular pointing out the difficulties in restoring the continuity of the skeletal tissues and of the muscle, and with a review of the relevant literature.
Literature
1.
go back to reference Abudu A, Grimer RJ, Tillman RM, Carter SR (1999) Endoprosthetic replacement of the distal tibia and ankle joint for aggressive bone tumors. Int Orthop 23:291–294PubMedCrossRef Abudu A, Grimer RJ, Tillman RM, Carter SR (1999) Endoprosthetic replacement of the distal tibia and ankle joint for aggressive bone tumors. Int Orthop 23:291–294PubMedCrossRef
2.
go back to reference Bielack SS, Schroeders A, Fuchs N, Bacci G, Bauer HC, Mapeli S, Tomeno B, Winkler K (1999) Malignant fibrous histiocytoma of bone: a retrospective EMSOS study of 125 cases. European Musculo-Skeletal Oncology Society. Acta Orthop Scand 70(4):353–360PubMed Bielack SS, Schroeders A, Fuchs N, Bacci G, Bauer HC, Mapeli S, Tomeno B, Winkler K (1999) Malignant fibrous histiocytoma of bone: a retrospective EMSOS study of 125 cases. European Musculo-Skeletal Oncology Society. Acta Orthop Scand 70(4):353–360PubMed
3.
go back to reference Bishop AT, Wood MB, Sheetz KK (1995) Arthrodesis of the ankle with a free vascularized autogenous bone graft. Reconstruction of segmental loss of bone secondary to osteomyelitis, tumor, or trauma. J Bone Joint Surg Am Dec; 77(12):1867–1875PubMed Bishop AT, Wood MB, Sheetz KK (1995) Arthrodesis of the ankle with a free vascularized autogenous bone graft. Reconstruction of segmental loss of bone secondary to osteomyelitis, tumor, or trauma. J Bone Joint Surg Am Dec; 77(12):1867–1875PubMed
4.
go back to reference Capanna R, Bufalini C, Campanacci M (1993) A new technique for reconstruction of large metadiaphyseal bone defects. Orthop Traumatol 3:159–177 Capanna R, Bufalini C, Campanacci M (1993) A new technique for reconstruction of large metadiaphyseal bone defects. Orthop Traumatol 3:159–177
5.
go back to reference Capanna R, De Biase P (2003) Limb salvage for tumours of the lower leg and foot. In: DuParc J (ed) Surgical techniques in orthopaedics and traumatology, vol 8, ISBN 2842994434. Elsevier, Amsterdam Capanna R, De Biase P (2003) Limb salvage for tumours of the lower leg and foot. In: DuParc J (ed) Surgical techniques in orthopaedics and traumatology, vol 8, ISBN 2842994434. Elsevier, Amsterdam
6.
go back to reference Capanna R, Van Horn JR, Biagini R, Ruggieri P, Battelli G, Campanacci M (1986) Reconstruction after resection of the distal fibula for bone tumor. Acta Orthop Scand 57:290–294PubMedCrossRef Capanna R, Van Horn JR, Biagini R, Ruggieri P, Battelli G, Campanacci M (1986) Reconstruction after resection of the distal fibula for bone tumor. Acta Orthop Scand 57:290–294PubMedCrossRef
7.
go back to reference Casadei R, Ruggieri P, Giuseppe T, Biagini R, Mercuri M (1994) Ankle resection arthrodesis in patients with bone tumors. Foot Ankle Int 15:242–249PubMed Casadei R, Ruggieri P, Giuseppe T, Biagini R, Mercuri M (1994) Ankle resection arthrodesis in patients with bone tumors. Foot Ankle Int 15:242–249PubMed
8.
go back to reference Ceruso M, Falcone C, Innocenti M, Delcroix L, Capanna R, Manfrini M (2001) Skeletal reconstruction with a free vascularized fibula graft associated to bone allograft after resection of malignant bone tumor of limbs. Handchir Mikrochir Plast Chir 33(4):277–282PubMedCrossRef Ceruso M, Falcone C, Innocenti M, Delcroix L, Capanna R, Manfrini M (2001) Skeletal reconstruction with a free vascularized fibula graft associated to bone allograft after resection of malignant bone tumor of limbs. Handchir Mikrochir Plast Chir 33(4):277–282PubMedCrossRef
9.
go back to reference Choong PF, Sim FH (1997) Limb-sparing surgery for bone tumors: new developments. Semin Surg Oncol 13:64–69PubMedCrossRef Choong PF, Sim FH (1997) Limb-sparing surgery for bone tumors: new developments. Semin Surg Oncol 13:64–69PubMedCrossRef
10.
go back to reference Ciampolini J, Gargan MF, Newman JH (1999) Arthrodesis of the distal tibiofibular joint for a large osteochondroma in an adult. Foot Ankle Int 20(10):657–658PubMed Ciampolini J, Gargan MF, Newman JH (1999) Arthrodesis of the distal tibiofibular joint for a large osteochondroma in an adult. Foot Ankle Int 20(10):657–658PubMed
11.
go back to reference Cossetto D, Nade S, Blackwell J (1992) Malignant fibrous histiocytoma in Paget’s disease of bone. A report of seven cases. Aust N Z J Surg 62(1):52–55PubMed Cossetto D, Nade S, Blackwell J (1992) Malignant fibrous histiocytoma in Paget’s disease of bone. A report of seven cases. Aust N Z J Surg 62(1):52–55PubMed
12.
go back to reference De Boer HH, Wood MB (1989) Bone changes in the vascularized fibula graft. J Bone Joint Surg [Br] 71:374–378 De Boer HH, Wood MB (1989) Bone changes in the vascularized fibula graft. J Bone Joint Surg [Br] 71:374–378
13.
go back to reference Eckardt JJ, Yang RS, Ward WG, Kelly C, Ei1ber FR (1995) Endoprosthetic reconstruction for ma1ignant bone tumors and nonmalignant tumorous conditions of bone. In: Stauffer RN, Erlich MG, Fu FH, Kostuik JP, Manske PR, Sim FH (eds) Advances in operative orthopaedics, vol 3. Mosby, St. Louis, pp 61–83 Eckardt JJ, Yang RS, Ward WG, Kelly C, Ei1ber FR (1995) Endoprosthetic reconstruction for ma1ignant bone tumors and nonmalignant tumorous conditions of bone. In: Stauffer RN, Erlich MG, Fu FH, Kostuik JP, Manske PR, Sim FH (eds) Advances in operative orthopaedics, vol 3. Mosby, St. Louis, pp 61–83
14.
go back to reference Eilber FR, Eckhardt J, Morton DL (1984) Advances in the treatment of sarcomas of the extremity: current status of limb salvage. Cancer 54(Suppl 11):2695–2701PubMedCrossRef Eilber FR, Eckhardt J, Morton DL (1984) Advances in the treatment of sarcomas of the extremity: current status of limb salvage. Cancer 54(Suppl 11):2695–2701PubMedCrossRef
15.
go back to reference Enneking WF (2000) An abbreviated history of orthopaedic oncology in North America. Clin Orthop 374:115–124PubMedCrossRef Enneking WF (2000) An abbreviated history of orthopaedic oncology in North America. Clin Orthop 374:115–124PubMedCrossRef
16.
go back to reference Enneking WF, Shirley PD (1977) Resection-arthrodesis far malignant and potentially malignant lesions about the knee using an intramedullary rod and local bone grafts. J Bone Joint Surg [Am] 59(2):223–236 Enneking WF, Shirley PD (1977) Resection-arthrodesis far malignant and potentially malignant lesions about the knee using an intramedullary rod and local bone grafts. J Bone Joint Surg [Am] 59(2):223–236
17.
go back to reference Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeleta1 system. Clin Orthop 286:241–246PubMed Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeleta1 system. Clin Orthop 286:241–246PubMed
18.
go back to reference Friedlaender GE, Tross RE, Doganis AC, Kirkwood JM, Baron R (1984) Effects of chemotherapeutic agents on bone. J Bone Joint Surg [Am] 66:602 Friedlaender GE, Tross RE, Doganis AC, Kirkwood JM, Baron R (1984) Effects of chemotherapeutic agents on bone. J Bone Joint Surg [Am] 66:602
19.
go back to reference Gaucher AA, Regent DM, Gillet PM, Pere PG, Aymard BM, Clement V (1991) Case report 656: malignant fibrous histiocytoma in a previous bone infarct. Skeletal Radiol 20(2):137–140PubMedCrossRef Gaucher AA, Regent DM, Gillet PM, Pere PG, Aymard BM, Clement V (1991) Case report 656: malignant fibrous histiocytoma in a previous bone infarct. Skeletal Radiol 20(2):137–140PubMedCrossRef
20.
go back to reference Heselson NG, Price SK, Mills EE, Conway SS, Marks RK (1983) Two malignant fibrous histiocytomas in bone infarcts. Case report. Bone Joint Surg Am 65(8):1166–1171 Heselson NG, Price SK, Mills EE, Conway SS, Marks RK (1983) Two malignant fibrous histiocytomas in bone infarcts. Case report. Bone Joint Surg Am 65(8):1166–1171
21.
go back to reference Lee SH, Kim H-S, Park Y-B, Rhie T-Y, Lee HK (1999) Prosthetic reconstruction for tumors of the distal tibia and fibula. J Bone Joint Surg Br 81-B(5):803–807PubMedCrossRef Lee SH, Kim H-S, Park Y-B, Rhie T-Y, Lee HK (1999) Prosthetic reconstruction for tumors of the distal tibia and fibula. J Bone Joint Surg Br 81-B(5):803–807PubMedCrossRef
22.
go back to reference Manfrini M (2003) The role of vascularized fibula in scheletal reconstruction. Chir Organi Mov 88(2):137–142PubMed Manfrini M (2003) The role of vascularized fibula in scheletal reconstruction. Chir Organi Mov 88(2):137–142PubMed
23.
go back to reference Mankin HJ, Gebhardt MC, Jennings LC, Springfie1d DS, Tomford WW (1996) Long-term results of allograft replacement in the management of bone tumors. Clin Orthop 324:86–97PubMedCrossRef Mankin HJ, Gebhardt MC, Jennings LC, Springfie1d DS, Tomford WW (1996) Long-term results of allograft replacement in the management of bone tumors. Clin Orthop 324:86–97PubMedCrossRef
24.
go back to reference Natarajan MV, Annamalai K, Williams S, SelvaraJ R, Rajagopal TS (2000) Limb salvage in distal tibial osteosarcoma using a custom mega prosthesis. Int Orthop 24(5):282–284PubMedCrossRef Natarajan MV, Annamalai K, Williams S, SelvaraJ R, Rajagopal TS (2000) Limb salvage in distal tibial osteosarcoma using a custom mega prosthesis. Int Orthop 24(5):282–284PubMedCrossRef
25.
go back to reference Origo C, Andreacchio A, Bagiani GP (2001) Malignant fibrous histiocytoma arising in a previous fracture site: a case report. J Orthopaed Traumatol 1:55–57CrossRef Origo C, Andreacchio A, Bagiani GP (2001) Malignant fibrous histiocytoma arising in a previous fracture site: a case report. J Orthopaed Traumatol 1:55–57CrossRef
26.
go back to reference Ozdemir HM, Yildiz Y, Yilmaz C, Saglik Y (1997) Tumors of the foot and ankle: analysis of 196 cases. J Foot Ankle Surg 36(6):403–408PubMedCrossRef Ozdemir HM, Yildiz Y, Yilmaz C, Saglik Y (1997) Tumors of the foot and ankle: analysis of 196 cases. J Foot Ankle Surg 36(6):403–408PubMedCrossRef
27.
go back to reference Pizzo PA (1994) Management of fever in patients with cancer and treatment-induced neutropenia. N Engl J Med 328(18):1323–1332CrossRef Pizzo PA (1994) Management of fever in patients with cancer and treatment-induced neutropenia. N Engl J Med 328(18):1323–1332CrossRef
28.
go back to reference Renard AJ, Veth RP, Schreuder HW, van Loon CJ, Koops HS, van Horn JR (2000) Function and complications after ablative and limb-salvage therapy in lower extremity sarcoma of bone. J Surg Oncol 73:198–205PubMedCrossRef Renard AJ, Veth RP, Schreuder HW, van Loon CJ, Koops HS, van Horn JR (2000) Function and complications after ablative and limb-salvage therapy in lower extremity sarcoma of bone. J Surg Oncol 73:198–205PubMedCrossRef
29.
go back to reference Rougraff BT, Simon MA, Kneisl JS, Greenberg DB, Mankin HJ (1994) Limb salvage compared with amputation far osteosarcoma of the distal end of the femur: a long-term oncological, functional, and quality-of-life study. J Bone Joint Surg Am 76:649–656PubMed Rougraff BT, Simon MA, Kneisl JS, Greenberg DB, Mankin HJ (1994) Limb salvage compared with amputation far osteosarcoma of the distal end of the femur: a long-term oncological, functional, and quality-of-life study. J Bone Joint Surg Am 76:649–656PubMed
30.
go back to reference Ruggieri P, Capanna R, Biagini R, Casadei R, Campanacci M (1987) Resection of the distal tibia in bone tumours. Ital J Orthop Traumatol 13(3):299–305PubMed Ruggieri P, Capanna R, Biagini R, Casadei R, Campanacci M (1987) Resection of the distal tibia in bone tumours. Ital J Orthop Traumatol 13(3):299–305PubMed
31.
go back to reference Shea KG, Coleman DA, Scott SM, Coleman SS, Christianson M (1997) Microvascularized free fibular grafts for reconstruction of skeletal defects after tumor resection. J Pediatr Orthop 17(4):424–432PubMedCrossRef Shea KG, Coleman DA, Scott SM, Coleman SS, Christianson M (1997) Microvascularized free fibular grafts for reconstruction of skeletal defects after tumor resection. J Pediatr Orthop 17(4):424–432PubMedCrossRef
32.
go back to reference Simon MA (1991) Limb salvage for osteosarcoma in the 1980s. Clin Orthop 270:264–270PubMed Simon MA (1991) Limb salvage for osteosarcoma in the 1980s. Clin Orthop 270:264–270PubMed
33.
go back to reference Sluga M, Windhager R, Lang S, Heinzl H, Bielack S, Kotz R (1999) Local and systemic control after ablative and limb sparing surgery in patients with osteosarcoma. Clin Orthop 358:120–127PubMedCrossRef Sluga M, Windhager R, Lang S, Heinzl H, Bielack S, Kotz R (1999) Local and systemic control after ablative and limb sparing surgery in patients with osteosarcoma. Clin Orthop 358:120–127PubMedCrossRef
34.
go back to reference Stiller D, Katenkamp D (1983) Malignant fibrous histiocytoma of bone. Clinical pathology and histological diagnosis. Zentralbl Allg Pathol 128(1–2):5–20PubMed Stiller D, Katenkamp D (1983) Malignant fibrous histiocytoma of bone. Clinical pathology and histological diagnosis. Zentralbl Allg Pathol 128(1–2):5–20PubMed
35.
go back to reference Taylor GI, Miller GDH, Ham JF (1975) The free vascularized bone graft: a clinical extension of microvascular techniques. Plast Reconst Surg 55(4):533–544PubMed Taylor GI, Miller GDH, Ham JF (1975) The free vascularized bone graft: a clinical extension of microvascular techniques. Plast Reconst Surg 55(4):533–544PubMed
36.
go back to reference Tigani D, Donati D, Moscato M, De Iure F, Boriani S (1996) Reconstruction by Grosse-Kempf nailing in resections for bone tumor. Chir Organi Mov 81(1):31–41PubMed Tigani D, Donati D, Moscato M, De Iure F, Boriani S (1996) Reconstruction by Grosse-Kempf nailing in resections for bone tumor. Chir Organi Mov 81(1):31–41PubMed
37.
go back to reference Zeytoonjian T, Mankin HJ, Gebhardt MC, Hornicek FJ (2004) Distal lower extremity sarcomas: frequency of occurrence and patient survival rate. Foot Ankle Int 25(5):325–330PubMed Zeytoonjian T, Mankin HJ, Gebhardt MC, Hornicek FJ (2004) Distal lower extremity sarcomas: frequency of occurrence and patient survival rate. Foot Ankle Int 25(5):325–330PubMed
Metadata
Title
A particular solution in the treatment of primitive neoplasms of the distal third of the tibia. Presentation of a clinical case and review of the literature
Authors
G. Maccauro
F. Liuzza
F. Muratori
G. Gosheger
M. Salgarello
C. A. Logroscino
Publication date
01-12-2006
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 10/2006
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-005-0031-3

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