Abstract
Distal femur is one of the most common anatomical sites of primary malignant bone tumor involvement in young patients. Biological reconstruction (BR) is the preferred method of limb salvage in patients for whom the prognosis is favorable and a joint-preserving intercalary resection is possible. Massive allografts (MA), recycled bone grafts, and free vascular fibula grafts (FVFG) remain the main tools for BR. The choice of BR method may vary depending on patient- and surgeon-related factors. While all BR methods have their own advantages and disadvantages, they can be used alone or in combination. Combination techniques were devised to reduce complications and promote early weight bearing in the lower extremity. Although combination techniques were first popularized using inlaid or onlaid FVFG with an MA shell, FVFG can also be combined with a recycled bone shell. This chapter describes limb salvage surgery in an 18-year-old male patient with distal femur osteosarcoma using an FVFG laid inside a liquid-nitrogen recycled bone shell (frozen hotdog) as the BR method of choice.
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Özger, H., Alpan, B., Yazar, Ş. (2022). Biological Reconstruction of the Distal Femur: III Liquid Nitrogen Treated Autograft and Inlaid Free Vascular Fibula (the “Frozen Hotdog”). In: Özger, H., Sim, F.H., Puri, A., Eralp, L. (eds) Orthopedic Surgical Oncology For Bone Tumors . Springer, Cham. https://doi.org/10.1007/978-3-030-73327-8_21
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DOI: https://doi.org/10.1007/978-3-030-73327-8_21
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