Summary
We have treated 12 cases of high grade malignant bone tumours of the proximal tibia by various methods of limb salvage. Nine osteosarcomata and 3 malignant fibrous histiocytomata were included. Muscle flaps were needed in all cases except in the one arthrodesis, and reconstruction of the extensor mechanism was carried out. In nine cases an endoprosthesis was inserted. There were poor results due to loss of movement or failure to regain extension power. A two-stage method of reconstruction of the knee joint is described.
Résumé
Nous avons traité 12 cas de tumeurs de l'extrémité supérieure du tibia, d'un haut degré de malignité, par des méthodes conservatrices. Cette série comprotait neuf ostéosarcomes et trois histiocytomes fibreux malins. Nous avons dû avoir recours à des lambeaux musculaires dans tous les cas, sauf dans celui qui a été arthrodésé, et nous avons cherché à reconstituer les moteurs de l'extension. Dans neuf cas une prothèse a été mise en place. Les résultats ont été médiocres, soit par perte de la mobilité, soit par défaut de force des extenseurs. Nous décrivons une méthode de reconstruction en deux temps de l'articulation du genou.
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References
Enneking WF (1983) Musculoskeletal tumor surgery, vol 1. Churchill Livingstone, New York, pp 605–686
Gebhardt MC, Mankin HJ (1989) The use of proximal tibial allografts in the reconstruction of tumors and other defects. In: New developments for limb salvage in musculoskeletal tumors. Springer, Tokyo Berlin Heidelberg New York, pp 573–585
Hockeberry MJ, Lane B (1988) Limb salvage procedures in children with osteosarcoma. Cancer Nursing 11: 2–8
Malawer MM (1985) Surgical technique and results of limb sparing surgery for high grade bone sarcomas of the knee and shoulder. Orthopedics 8: 597–607
Malawer MM, McHale KA (1989) Techniques of limb-sparing resection and extensor mechanism reconstruction for high-grade malignant tumors of the proximal tibia. In: New Developments for limb salvage in musculoskeletal tumors. Springer Tokyo Berlin Heidelberg New York, pp 611–617
McDonald DJ, Capanna R, Gherlinzoni F, Bacci G, Ferruzzi A, Casadei R, Ferraro A, Cazzola A, Campanacci M (1990) Influence of chemotherapy on perioperative complications in limb salvage surgery for bone tumors. Cancer 65: 1509–1516
Missenard G, Tomeno B, Langlais F, Dubousset JF, Augereau B, Schvingt E, Bonnel F, Denayer P, Groulier P, Trifaud A, Vidal J (1989) Total knee prosthesis after upper tibia resection for tumors. In: New developments for limb salvage in musculoskeletal tumors. Springer, Tokyo Berlin Heidelberg New York, pp 591–604
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Ogihara, Y., Sudo, A., Fujinami, S. et al. Limb salvage for bone sarcoma of the proximal tibia. International Orthopaedics 15, 377–379 (1991). https://doi.org/10.1007/BF00186883
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DOI: https://doi.org/10.1007/BF00186883