Clinical Use of Allograft Bone in Tumour Surgery Around the Hip and Knee Joints

  • A. A. Czitrom


Historically the demand for allograft bone arose from the need to reconstruct skeletal defects in tumour surgery (Ottolenghi 1972, Parish 1973, Mankin et al. 1983, Gross et al. 1984). Today, with the expansion of hip and knee revision surgery, it is the tumour surgeons who learn how to do the reconstructions from the revision surgeons. The accumulated experience in revision surgery helps to elucidate the problems with the use of allograft bone in general.


Distal Femur Proximal Tibia Limb Salvage Giant Cell Tumour Tumour Surgery 
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References and Further Reading

  1. Bell RS, Davis A, Allan DG, Langer F, Czitrom AA, Gross AE (1992a) Fresh osteochondral allografts for advanced giant cell tumours at the knee. J ArthroplastyGoogle Scholar
  2. Bell RS, Davis A, Langer F, Czitrom AA, Gross AE (1992b) Reconstruction of primary malignant knee tumours using irradiated allograft bone. J Bone Joint Surg (Br) (in press)Google Scholar
  3. Czitrom AA (1992) Allograft reconstruction after tumour surgery in the appendicular skeleton. In: Czitrom AA, Gross AE (eds) Allografts in Orthopaedic Practice. Williams and Wilkins, BaltimoreGoogle Scholar
  4. Czitrom AA, Langer F, Bell RS, Shahin AM (1991) Allograft reconstruction for bone metastases. In: Langlais F, Tomeno B (eds) Limb Salvage - Major Reconstructions in Oncologic and Nontumoral Conditions. Springer-Verlag, Berlin Heidelberg New York p733Google Scholar
  5. Czitrom A, Capanna R, Donati D, Bacci G, Campanacci M (1991) Segmental allograft reconstruction concomitant with neoadjuvant chemotherapy. In: Langlais F, Tomeno B (eds) Limb Salvage - Major Reconstructions in Oncologic and Nontumoral Conditions. Springer-Verlag, Berlin Heidelberg New York, p95Google Scholar
  6. Enneking WF (1987) Modification of the system for functional evaluation of surgical management of musculoskeletal tumours. In: Enneking WF (ed) Limb Salvage in Musculoskeletal Oncology. Churchill Livingstone, New York, p626Google Scholar
  7. Gross AE, McKee N, Farine I, Czitrom A, Langer F (1984) Reconstruction of skeletal defects following en-bloc excision of bone tumours. In: Uhtoff HK (ed) Current Concepts of Diagnosis and Treatment of Bone and Soft Tissue Tumours. Springer-Verlag, Berlin Heidelberg New York, p163Google Scholar
  8. Guest CB, Bell RS, Davis A, Langer F, Ling H, Gross AE, Czitrom A (1990) Allograft-implant composite reconstruction following periacetabular sarcoma resection. J Arthroplasty 5S:25–34Google Scholar
  9. Huckell C, Czitrom AA, Capanna R, Langer F, Gross AE, Campanacci M (1990) Segmental reconstruction of bone defects after tumour resection - a comparative analysis of complications using autografts and allografts. J Bone Joint Surg (Br) 72:540Google Scholar
  10. Mankin HJ, Doppelt S, Tomford W (1983) Clinical experience with allograft implantation. The first ten years. Clin Orthop 174:69–86PubMedGoogle Scholar
  11. Ottolenghi CE (1972) Massive osteo and osteo-articular bone grafts. Technique and results of 62 cases. Clin Orthop 87:156–164PubMedCrossRefGoogle Scholar
  12. Parish FF (1973) Allograft replacement of all or part of the end of a long bone following excision of a tumour: Report of twenty-one cases. J Bone Joint Surg (Am) 55:1–22Google Scholar

Copyright information

© Springer-Verlag London Limited 1992

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  • A. A. Czitrom

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