In the treatment of malignant bone tumors, the indication for limb salvage has become more common in the past 10 years, also in younger patients. between June 1978 and June 1988, 205 children below 14 years of age, and affected by primitive high-grade bone sarcomas (167 osteogenic sarcoma, 33 Ewing's sarcoma, 3 malignant fibrous hystiocytoma, and 2 fibrosarcoma) were surgically treated at the Rizzoli Institute. Ablative surgery was performed in about one-third of the patients (8/29 or 27% in the upper limbs, 68/176 or 39% in the lower limbs); eight patients underwent rotationplasty. In the upper limb 21 patients underwent resection (18 proximal humerus, 1 distal radius, 1 distal ulna, 1 clavicle): 17 had reconstruction with implants (10 prosthesis and 7 Kuntscher rod and cement), 2 were reconstructed using grafts while 2 had no reconstruction. In the lower limb, 100 patients underwent limb-saving surgery. Sixteen of there did not require any reconstruction, the tumor involving an expandable bone (9 fibula and 7 iliac bone). Sixteen patients had an intercalary reconstruction for diaphyseal tumors. The remaining 68 patients underwent osteoarticular resections. The reconstruction was performed by prosthetic replacement in 23 cases (3 proximal femur, 16 distal femur, and 4 proximal tibia), and by artrodesizing grafts in 45. In this study we report the results obtained in the 45 patients for whom the reconstruction involved joint arthrodesis (hip, knee, or ankle).
Arthrodeses after malignant bone tumor resection in children
CAPANNA, RODOLFO;
1991-01-01
Abstract
In the treatment of malignant bone tumors, the indication for limb salvage has become more common in the past 10 years, also in younger patients. between June 1978 and June 1988, 205 children below 14 years of age, and affected by primitive high-grade bone sarcomas (167 osteogenic sarcoma, 33 Ewing's sarcoma, 3 malignant fibrous hystiocytoma, and 2 fibrosarcoma) were surgically treated at the Rizzoli Institute. Ablative surgery was performed in about one-third of the patients (8/29 or 27% in the upper limbs, 68/176 or 39% in the lower limbs); eight patients underwent rotationplasty. In the upper limb 21 patients underwent resection (18 proximal humerus, 1 distal radius, 1 distal ulna, 1 clavicle): 17 had reconstruction with implants (10 prosthesis and 7 Kuntscher rod and cement), 2 were reconstructed using grafts while 2 had no reconstruction. In the lower limb, 100 patients underwent limb-saving surgery. Sixteen of there did not require any reconstruction, the tumor involving an expandable bone (9 fibula and 7 iliac bone). Sixteen patients had an intercalary reconstruction for diaphyseal tumors. The remaining 68 patients underwent osteoarticular resections. The reconstruction was performed by prosthetic replacement in 23 cases (3 proximal femur, 16 distal femur, and 4 proximal tibia), and by artrodesizing grafts in 45. In this study we report the results obtained in the 45 patients for whom the reconstruction involved joint arthrodesis (hip, knee, or ankle).I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
