Abstract
Adamantinomas are rare bone tumors of unknown origin. They have low potential for metastasis and treatment consists of marginal resection. As they are usually located in the diaphyseal region of the tibia, resection leads to a bone defect. In this case we present a patient with adamantinoma located in the mid-diaphyseal region of the tibia. Following resection, the defect was reconstructed with bifocal transport using Ilizarov ring fixator. At the end of the trasportation of the segment, bone grafting and plate osteosynthesis was performed due to non union of the bone ends.
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References and Suggested Reading
Fuchs B, Ossendorf C, Leerapun T, Sim FH (2008) Intercalary segmental reconstruction after bone tumor resection. Eur J Surg Oncol 34(12):1271–1276
Hazelbag HM, Taminiau AH, Fleuren GJ, Hogendoorn PC (1994) Adamantinoma of the long bones. A clinicopathological study of thirty-two patients with emphasis on histological subtype, precursor lesion, and biological behavior. J Bone Joint Surg Am 76(10):1482–1499
Ozaki T, Nakatsuka Y, Kunisada T, Kawai A, Dan’ura T, Naito N, Inoue H (1998) High complication rate of reconstruction using Ilizarov bone transport method in patients with bone sarcomas. Arch Orthop Trauma Surg 118(3):136–139
Paley D (1990) Problems, obstacles, and complications of limb lengthening by the Ilizarov technique. Clin Orthop Relat Res 250:81
Sen C, Kocaoglu M, Eralp L, Gulsen M, Cinar M (2004) Bifocal compression-distraction in the acute treatment of grade III open tibia fractures with bone and soft-tissue loss: a report of 24 cases. J Orthop Trauma 18(3):150–157
Tsuchiya H, Tomita K (2003) Distraction osteogenesis for treatment of bone loss in the lower extremity. J Orthop Sci 8:116–24
Tsuchiya H, Tomita K, Minematsu K, Mori Y, Asada N, Kitano S (1997) Limb salvage using distraction osteogenesis. A classification of the technique. J Bone Joint Surg Br 79(3):403–411
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© 2015 Springer International Publishing Switzerland
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Eralp, L., Eren, I. (2015). Case 66: Reconstruction of a Bone Defect (Malignant Bone Tumor) in the Diaphyseal Tibia Using Circular External Fixator with Trifocal Bone Transport (Distraction Osteogenesis). In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18020-5_240
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DOI: https://doi.org/10.1007/978-3-319-18020-5_240
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18019-9
Online ISBN: 978-3-319-18020-5
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