Abstract
Due to its anatomical location, the upper end of the tibia poses unique problems while attempting limb salvage and appropriate reconstruction. This article attempts to highlight a few of the key steps, pearls and pitfalls while attempting this challenging procedure.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Mavrogenis AF, Pala E, Angelini A, Ferraro A, Ruggieri P. Proximal tibial resections and reconstructions: Clinical outcome of 225 patients. J Surg Oncol 2013;107:335–42.
Campanacci M, Costa P. Total resection of distal femur or proximal tibia for bone tumours. Autogenous bone grafts and arthrodesis in twenty six cases. Total resection of distal femur or proximal tibia for bone tumours 1979;61-B:455–63.
Myers GJ, Abudu AT, Carter SR, Tillman RM, Grimer RJ. The long term results of endoprosthetic replacement of the proximal tibia for bone tumours. J Bone Joint Surg Br 2007;89:1632–7.
Agarwal M, Gulia A, Ravi B, Ghyar R, Puri A. Revision of broken knee megaprostheses: New solution to old problems. Clin Orthop Relat Res 2010;468:2904–13.
Zhang Y, Yang Z, Li X, Chen Y, Zhang S, Du M, et al. Custom prosthetic reconstruction for proximal tibial osteosarcoma with proximal tibiofibular joint involved. Surg Oncol 2008;17:87–95.
Capanna R, Scoccianti G, Campanacci DA, Beltrami G, De Biase P. Surgical technique: Extra articular knee resection with prosthesis-proximal tibia-extensor apparatus allograft for tumors invading the knee. Clin Orthop Relat Res 2011;469:2905–14.
El-Sherbiny M. Pedicled gastrocnemius flap: Clinical application in limb sparing surgical resection of sarcoma around the knee region and popliteal fossa. J Egypt Natl Canc Inst 2008;20:196–207.
Capanna R, Campanacci DA, Belot N, Beltrami G, Manfrini M, Innocenti M, et al. A new reconstructive technique for intercalary defects of long bones: The association of massive allograft with vascularized fibular autograft. Long term results and comparison with alternative techniques. A new reconstructive technique for intercalary defects of long bones: The association of massive allograft with vascularized fibular autograft 2007;38:51–60, vi.
Puri A, Gulia A, Pruthi M, Koushik S. Primary cement spacers: A cost-effective, durable limb salvage option for knee tumors. Knee 2012;19:320–3.
Healey JH, Shannon F, Boland P, DiResta GR. PMMA to stabilize bone and deliver antineoplastic and antiresorptive agents. Clin Orthop Relat Res 2003;415:S263–75.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Puri, A. Tips and tricks of limb salvage: Proximal tibia. IJOO 48, 296–300 (2014). https://doi.org/10.4103/0019-5413.132522
Published:
Issue Date:
DOI: https://doi.org/10.4103/0019-5413.132522