Plate-assisted bone segment transport: Novel application on distal tibia defect after tumour resection. A case report
Reconstruction of a large bone defect of the distal tibia after limb salvage surgery is difficult. The options include custom-made ankle endoprosthetic replacement, arthrodesis, and biological or metallic intercalary reconstructions. This report introduces a technique that provides the patient with...
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Published in | International journal of surgery case reports Vol. 84; p. 106079 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Elsevier Ltd
01.07.2021
Elsevier |
Subjects | |
Online Access | Get full text |
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Summary: | Reconstruction of a large bone defect of the distal tibia after limb salvage surgery is difficult. The options include custom-made ankle endoprosthetic replacement, arthrodesis, and biological or metallic intercalary reconstructions. This report introduces a technique that provides the patient with a long-lasting biological reconstruction while preserving the native ankle.
We present the case of a 47-year-old man with osteosarcoma of the distal tibia. After neoadjuvant chemotherapy, wide excision was performed while preserving the ankle joint. Bone reconstruction by Plate-assisted bone segment transport (PABST) was performed with a non-invasive growing intramedullary nail. At 34 months of follow-up, there was solid union and the Musculoskeletal Tumour Society Score was 26/30.
This is the first report of PABST after distal tibia tumour resection. It shows that this is a viable and safe method of reconstruction. Despite the use of adjuvant chemotherapy, regenerate was formed and union was achieved.
PABST is a useful tool in the armamentarium to tackle difficult large bone defects.
•Large distal tibia bone defects are difficult to manage.•First report of Plate-assisted bone segment transport after distal tibia tumour resection•Regenerate was formed and bone union was achieved despite adjuvant chemotherapy.•Good outcome and function at 34 months of follow-up•Plate-assisted bone segment transport is a useful reconstructive technique. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 2210-2612 2210-2612 |
DOI: | 10.1016/j.ijscr.2021.106079 |