Autoclaved Tumor Bone for Skeletal Reconstruction in Paediatric Patients: A Low Cost Alternative in Developing Countries
Joint Authors
ur Rashid, Haroon
Umer, Hafiz Muhammad
Awan, Rabia
Askari, Raza
Ashraf, Shamvil
Qadir, Irfan
Umer, Masood
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-18
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
We reviewed in this series forty patients of pediatric age who underwent resection for malignant tumors of musculoskeletal system followed by biological reconstruction.
Our surgical procedure for reconstruction included (1) wide en bloc resection of the tumor; (2) curettage of tumor from the resected bone; (3) autoclaving for 8 minutes (4) bone grafting from the fibula (both vascularized and nonvascularized fibular grafts used); (5) reimplantation of the autoclaved bone into the host bone defect and fixation with plates.
Functional evaluation was done using MSTS scoring system.
At final followup of at least 18 months (mean 29.2 months), 31 patients had recovered without any complications.
Thirty-eight patients successfully achieved a solid bony union between the graft and recipient bone.
Three patients had surgical site infection.
They were managed with wound debridement and flap coverage of the defect.
Local recurrence and nonunion occurred in two patients each.
One patient underwent disarticulation at hip due to extensive local disease and one died of metastasis.
For patients with non-union, revision procedure with bone graft and compression plates was successfully used.
The use of autoclaved tumor grafts provides a limb salvage option that is inexpensive and independent of external resources and is a viable option for musculoskeletal tumor management in developing countries.
American Psychological Association (APA)
Umer, Masood& Umer, Hafiz Muhammad& Qadir, Irfan& ur Rashid, Haroon& Awan, Rabia& Askari, Raza…[et al.]. 2013. Autoclaved Tumor Bone for Skeletal Reconstruction in Paediatric Patients: A Low Cost Alternative in Developing Countries. BioMed Research International،Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-1030808
Modern Language Association (MLA)
Umer, Masood…[et al.]. Autoclaved Tumor Bone for Skeletal Reconstruction in Paediatric Patients: A Low Cost Alternative in Developing Countries. BioMed Research International No. 2013 (2013), pp.1-8.
https://search.emarefa.net/detail/BIM-1030808
American Medical Association (AMA)
Umer, Masood& Umer, Hafiz Muhammad& Qadir, Irfan& ur Rashid, Haroon& Awan, Rabia& Askari, Raza…[et al.]. Autoclaved Tumor Bone for Skeletal Reconstruction in Paediatric Patients: A Low Cost Alternative in Developing Countries. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-1030808
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1030808