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Is the Capanna Technique a Reliable Method for Revision Surgery after Failure of Previous Limb-Salvage Surgery?

  • Reconstructive Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

Reconstruction of a massive bone defect caused by previous failed limb-salvage surgery in patients with bone sarcoma is challenging. Many procedures have been used, but they all have their inherent disadvantages. The Capanna technique has demonstrated good functional outcomes and a low incidence of complications in primary reconstructive surgery of massive bone defect. However, few studies have focused on its usage in revision surgery after failed primary limb-salvage surgery.

Methods

Between June 2011 and January 2017, 13 patients underwent revision surgery with the Capanna technique for reconstruction of a secondary segmental bone defect caused by a previous failed surgical procedure. The demographics, operating procedures, graft union, functional outcomes, oncologic outcomes, and postoperative complications of each patient were recorded.

Results

The current study investigated 13 patients. The rate of limb salvage was 100 %. Bone union was achieved for all patients during a mean time of 8.54 ± 2.15 months (range 4–11 months) at the fibula–host bone junction and 14.92 ± 2.33 months (range 12–21 months) at the allograft–host bone junction. The postoperative complications included wound healing issues and internal fixation loosening. Allograft fracture, nonunion, and infection were not observed. All the patients achieved good functional outcomes, with a Musculoskeletal Tumor Society (MSTS) score of 0.86 ± 0.03 at the latest follow-up visit.

Conclusions

The Capanna technique is a reliable alternative method for revision reconstruction of a segmental bone defect caused by a previous failed surgical procedure.

Level of Evidence

Level IV, therapeutic study.

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Author notes

  1. Minghui Li and Xin Xiao contributed equally to this study.

Authors and Affiliations

  1. Department of Orthopedics, Xi Jing Hospital, Air Force Medical University, Xi’an, Shaanxi, People’s Republic of China

    Minghui Li MD, Xin Xiao MD, PhD, Junjun Fan MD, PhD, Yajie Lu MD, Guojing Chen MD, Mengquan Huang MD, Chuanlei Ji MD, Zhen Wang MD & Jing Li MD, PhD

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  1. Minghui Li MD
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  2. Xin Xiao MD, PhD
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Correspondence to Jing Li MD, PhD.

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Li, M., Xiao, X., Fan, J. et al. Is the Capanna Technique a Reliable Method for Revision Surgery after Failure of Previous Limb-Salvage Surgery?. Ann Surg Oncol 29, 1122–1129 (2022). https://doi.org/10.1245/s10434-021-10506-z

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