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Archives of Orthopaedic and Trauma Surgery

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01-02-2008 | Orthopaedic Surgery

Reconstruction with pasteurized autograft for distal tibial tumor

Authors: Dae-Geun Jeon, Min Suk Kim, Wan Hyeong Cho, Won Seok Song, Soo-Yong Lee

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 2/2008

Abstract

Introduction

Primary malignant tumors of the distal tibia are rare. With advances in various treatment modalities, limb salvage for tumors of the distal tibia has been indicated for selected cases. This study examined whether the results of a pasteurized autologous bone graft are comparable to other reconstruction methods with regard to the graft survival and the functional outcome.

Materials and methods

Between 1992 and 2003, nine patients with malignant tumors of the distal tibia were subjected to the reconstruction with a recycled pasteurized autograft. The ultimate graft survival, union time, complications, and functional results were analyzed retrospectively.

Results

One out of the nine autografts was removed after 15 months, due to non-union. Seven complications occurred in six patients, which included superficial infections (two cases), deep infections (one case), non-union (two cases), and fracture (two cases). None of the patients required a secondary below the knee amputation during the follow-up period. The average musculoskeletal tumor society (MSTS) functional score was 26/30 (86.7%).

Conclusions

The reconstruction with a pasteurized autograft is a simple and easily method for treating distal tibial malignancies. Moreover, vascularized fibula transfer might be considered a good ancillary procedure for resolving graft-related complications.

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Title: Reconstruction with pasteurized autograft for distal tibial tumor
Authors: Dae-Geun Jeon
Min Suk Kim
Wan Hyeong Cho
Won Seok Song
Soo-Yong Lee
Publication date: 01-02-2008
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 2/2008
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-007-0445-1

At a glance: The STEP trials

Springer Medicine

Reconstruction with pasteurized autograft for distal tibial tumor

Abstract

Introduction

Materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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