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Massive intercalary bone allografts in the treatment of primary and secondary bone tumors

A report on 21 cases

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Abstract

From 1981 to 1993, 21 patients received intercalary bone allografts for reconstruction of the extremity after en bloc tumor resection (15 malignant and 6 benign tumors). The allografts were collected from multiorgan donors and cryopreserved at −70°C. The mean follow-up was 4.4 (range 1–13) years. The fate of the grafts was followed by conventional radiography, bone scintigraphy, and functional assessment. The overall survival rate of the 7 patients with high-grade malignancies was 86%. Solid union of the graft-host sites in less that 15 months occurred in 85%. An increased isotope uptake of the graft indicates that incorporation at the osteotomies as well as remodelling is still continuing at 9 years after operation. The overall complication rate was 43%; 3 patients had two or more complications. Complications were related to the allograft in 6 (infection or fatigue fracture in 1 and delayed healing in 4 cases) and to the osteosynthesis in 3 patients. The definitive results after treatment of complications show that satisfactory results have been obtained in all but 2 patients: 62% had excellent, 19% good, and 10% fair results. Intercalary allografts therefore provide a valuable solution for large skeletal defects after resection of bone tumors.

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Authors and Affiliations

  1. Abteilung für Unfallchirurgie, Universitätsklinikum Essen, Hufelandstrasse 55, D-45122, Essen, Germany

    G. Voggenreiter, W. Klaes, S. Assenmacher & K. P. Schmit-Neuerburg

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  1. G. Voggenreiter
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  2. W. Klaes
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  3. S. Assenmacher
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  4. K. P. Schmit-Neuerburg
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Voggenreiter, G., Klaes, W., Assenmacher, S. et al. Massive intercalary bone allografts in the treatment of primary and secondary bone tumors. Arch Orthop Trauma Surg 114, 308–318 (1995). https://doi.org/10.1007/BF00448953

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  • DOI: https://doi.org/10.1007/BF00448953

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