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01-10-2009 | Original Paper

Reimplantation of the resected tumour-bearing segment after recycling using liquid nitrogen for osteosarcoma

Authors: Mohamed Abdel Rahman, Ayman Bassiony, Hisham Shalaby

Published in: International Orthopaedics | Issue 5/2009

Abstract

Reconstruction after en block resection of malignant tumours is still the subject of debate. We questioned the effectiveness of reconstruction by reimplanting the tumour-bearing segment after recycling in liquid nitrogen. Ten patients with osteosarcoma around the knee were included, with a mean age of 21 years. The operative technique included wide en bloc excision, debridement, and management of the resected segment with liquid nitrogen followed by reimplantation and internal fixation. At a mean follow-up of 4.5 years there was no local or systemic recurrence and the mean functional score was 82.4%. The frozen graft united proximally and distally in all but one patient in a period ranging from six to ten months. The effectiveness of this reconstruction technique in properly selected patients with osteosarcoma is comparable to other techniques of biological reconstruction with the added benefit of being simple, cheap and durable.

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Title: Reimplantation of the resected tumour-bearing segment after recycling using liquid nitrogen for osteosarcoma
Authors: Mohamed Abdel Rahman
Ayman Bassiony
Hisham Shalaby
Publication date: 01-10-2009
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 5/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-009-0773-6

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Reimplantation of the resected tumour-bearing segment after recycling using liquid nitrogen for osteosarcoma

Abstract

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Abstract

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