Intercalary Reconstruction after Wide Resection of Malignant Bone Tumors of the Lower Extremity Using a Composite Graft with a Devitalized Autograft and a Vascularized Fibula
Joint Authors
Ogura, Koichi
Miyamoto, Shimpei
Sakuraba, Minoru
Chuman, Hirokazu
Fujiwara, Tomohiro
Kawai, Akira
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-16
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Introduction.
Although several intercalary reconstructions after resection of a lower extremity malignant bone tumor are reported, there are no optimal methods which can provide a long-term reconstruction with fewest complications.
We present the outcome of reconstruction using a devitalized autograft and a vascularized fibula graft composite.
Materials and Methods.
We conducted a retrospective review of 11 patients (7 males, 4 females; median age 27 years) undergoing reconstruction using a devitalized autograft (pasteurization (n=6), deep freezing (n=5)) and a vascularized fibula graft composite for lower extremity malignant bone tumors (femur (n=10), tibia (n=1)).
Results.
The mean period required for callus formation and bone union was 4.4 months and 9.9 months, respectively.
Four postoperative complications occurred in 3 patients: 2 infections (1 pasteurized autograft, 1 frozen autograft) and 1 fracture and 1 implant failure (both in pasteurized autografts).
Graft removal was required in 2 patients with infections.
The mean MSTS score was 81% at last follow-up.
Conclusions.
Although some complications were noted in early cases involving a pasteurized autograft, our novel method involving a combination of a frozen autograft with a vascularized fibula graft and rigid fixation with a locking plate may offer better outcomes than previously reported allografts or devitalized autografts.
American Psychological Association (APA)
Ogura, Koichi& Miyamoto, Shimpei& Sakuraba, Minoru& Fujiwara, Tomohiro& Chuman, Hirokazu& Kawai, Akira. 2015. Intercalary Reconstruction after Wide Resection of Malignant Bone Tumors of the Lower Extremity Using a Composite Graft with a Devitalized Autograft and a Vascularized Fibula. Complexity،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1076105
Modern Language Association (MLA)
Ogura, Koichi…[et al.]. Intercalary Reconstruction after Wide Resection of Malignant Bone Tumors of the Lower Extremity Using a Composite Graft with a Devitalized Autograft and a Vascularized Fibula. Complexity No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1076105
American Medical Association (AMA)
Ogura, Koichi& Miyamoto, Shimpei& Sakuraba, Minoru& Fujiwara, Tomohiro& Chuman, Hirokazu& Kawai, Akira. Intercalary Reconstruction after Wide Resection of Malignant Bone Tumors of the Lower Extremity Using a Composite Graft with a Devitalized Autograft and a Vascularized Fibula. Complexity. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1076105
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1076105