دورية أكاديمية
Endoprosthetic replacement with preservation of the epiphysis for proximal tibial reconstruction after osteosarcoma resection in children: a case report.
| العنوان: | Endoprosthetic replacement with preservation of the epiphysis for proximal tibial reconstruction after osteosarcoma resection in children: a case report. |
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| المؤلفون: | Gui S; Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China., Xu W; Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China., Ouyang Z; Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China., Guo X; Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China., Shen Y; Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China., Tao H; Department of Biochemistry and Molecular Biology, Hunan University of Chinese Medicine, Changsha, Hunan, 410208, China., Chen X; Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China. chenxiacxv99@csu.edu.cn., Peng D; Department of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China. xyeypd@163.com. |
| المصدر: | BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Jul 20; Vol. 25 (1), pp. 567. Date of Electronic Publication: 2024 Jul 20. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2000- |
| مواضيع طبية MeSH: | Osteosarcoma*/surgery , Tibia*/surgery , Tibia*/diagnostic imaging , Bone Neoplasms*/surgery , Epiphyses*/surgery , Limb Salvage*/methods, Humans ; Male ; Child ; Plastic Surgery Procedures/methods ; Knee Joint/surgery ; Knee Joint/diagnostic imaging ; Knee Joint/physiopathology ; Treatment Outcome |
| مستخلص: | Background: Limb salvage surgery is an important method for treating malignant tumors of the bone involving the adjacent parts of the major joints in children. This technique allows for preservation of limb function, especially in the lower limb. However, the reconstruction of the proximal end of the tibia after removing the tumor mass with a rational scale to preserve the total knee joint and reduce limb length discrepancy presents a challenge. Case Presentation: We present a case of osteosarcoma of the proximal tibia. After being treated with an extended tumor resection, the proximal tibia of the child was restructured using endoprosthetic replacement with epiphyseal preservation. This procedure preserves the entire articular surface and growth plate of the knee joint of the affected limb and provides a feasible alternative protocol for retaining the function and growth potential of the affected limb. The patient remained disease-free and normal limb motor function was observed during the 3.5 year follow-up since the initial surgery. Conclusions: Preservation of the epiphysis enabled our patient to perform better limb function after limb-saving surgery as a result of his undamaged knee joint and minimized limb-length discrepancy. We believe that endoprosthetic replacement with preservation of the epiphysis can provide the best strategy for reconstruction after resection of focal malignant tumors in long bones without epiphytic involvement. (© 2024. The Author(s).) |
| التعليقات: | Erratum in: BMC Musculoskelet Disord. 2024 Sep 16;25(1):742. doi: 10.1186/s12891-024-07844-w. (PMID: 39285394) |
| References: | Durfee RA, Mohammed M, Luu HH. Review of osteosarcoma and current management. Rheumatol Ther. 2016;3:221–43. (PMID: 27761754512797010.1007/s40744-016-0046-y) Abdelgawad MA, Parambi DGT, Ghoneim MM, Alotaibi NH, Alzarea AI, Hassan AH, et al. A meta-analysis comparing efficiency of limb-salvage surgery vs amputation on patients with osteosarcoma treated with neoadjuvant chemotherapy. Int Wound J. 2022;19:1616–24. https://doi.org/10.1111/iwj.13758 . (PMID: 35122396961527310.1111/iwj.13758) Norton KI, Hermann G, Abdelwahab IF, Klein MJ, Granowetter LF, Rabinowitz JG. Epiphyseal involvement in osteosarcoma. Radiology. 1991;180:813–16. (PMID: 187129910.1148/radiology.180.3.1871299) Mercuri M, Capanna R, Manfrini M, Bacci G, Picci P, Ruggieri P, et al. The management of malignant bone tumors in children and adolescents. Clin Orthop Relat Res. 1991;264:156–68. (PMID: 10.1097/00003086-199103000-00017) Moseley CF. A straight-line graph for leg-length discrepancies. J Bone Joint Surg Am. 1977;59:174–79. (PMID: 84520010.2106/00004623-197759020-00006) Bacci G, Longhi A, Versari M, Mercuri M, Briccoli A, Picci P. Prognostic factors for osteosarcoma of the extremity treated with neoadjuvant chemotherapy: 15-year experience in 789 patients treated at a single institution. Cancer. 2006;106:1154–61. (PMID: 1642192310.1002/cncr.21724) Chao EYS, Fuchs B, Rowland CM, Ilstrup DM, Pritchard DJ, Sim FH. Long-term results of segmental prosthesis fixation by extracortical bone-bridging and ingrowth. J Bone Joint Surg Am. 2004;86:948–55. (PMID: 1511803710.2106/00004623-200405000-00010) Kuettner KE, Pauli BU, Soble L. Morphological studies on the resistance of cartilage to invasion by osteosarcoma cells in vitro and in vivo. Cancer Res. 1978;38(2):277–87. (PMID: 202383) San-Julian M, Aquerreta JD, Benito A, Cañadell J. Indications for epiphyseal preservation in metaphyseal malignant bone tumors of children: relationship between image methods and histological findings. J Pediatr Orthop. 1999;19(4):543–8. (PMID: 1041301110.1097/01241398-199907000-00025) Kiss S, Terebessy T, Szöke G, Kiss J, Antal I, Szendröi M. Epiphysis preserving resection of malignant proximal tibial tumors. Int Orthop. 2013;37:99–104. (PMID: 2322397010.1007/s00264-012-1731-2) Takeuchi A, Yamamoto N, Hayashi K, Matsubara H, Kimura H, Miwa S, et al. Growth of epiphysis after epiphyseal- preservation surgery for childhood osteosarcoma around the knee joint. BMC Musculoskelet Disord. 2018;19:185. (PMID: 29875014599144010.1186/s12891-018-2109-4) Finn HA, Simon MA. Limb-salvage surgery in the treatment of osteosarcoma in skeletally immature individuals. Clin Orthop Relat Res. 1991;(262):108–18. Chen CM, Disa JJ, Lee HY, Mehrara BJ, Hu QY, Nathan S, et al. Reconstruction of extremity long bone defects after sarcoma resection with vascularized fibula flaps: a 10-year review. Plast Reconstr Surg. 2007;119:915–24. discussion 925. (PMID: 1731249610.1097/01.prs.0000252306.72483.9b) Beris AE, Lykissas MG, Korompilias AV, Vekris MD, Mitsionis GI, Malizos KN, et al. Vascularized fibula transfer for lower limb reconstruction. Microsurgery. 2011;31:205–11. (PMID: 2136058610.1002/micr.20841) Guo X, Li X, Liu T, Shuai C, Zhang Q. Pasteurized autograft reconstruction after resection of periacetabular malignant bone tumors. World J Surg Oncol. 2017;15:13. (PMID: 28069064522342110.1186/s12957-016-1065-4) Lozano-Calderón SA, Swaim SO, Federico A, Anderson ME, Gebhardt MC. Predictors of soft-tissue complications and deep infection in allograft reconstruction of the proximal tibia. J Surg Oncol. 2016;113:811–7. (PMID: 2712689310.1002/jso.24234) Demiralp B, Ege T, Kose O, Yurttas Y, Basbozkurt M. Reconstruction of intercalary bone defects following bone tumor resection with segmental bone transport using an ilizarow circular external fixator. J Orthop Sci. 2014;19:1004–11. (PMID: 2514600110.1007/s00776-014-0632-1) Chang DW, Weber KL. Use of a vascularized fibula bone flap and intercalary allograft for diaphyseal reconstruction after resection of primary extremity bone sarcomas. Plast Reconstr Surg. 2005;116:1918–25. (PMID: 1632760410.1097/01.prs.0000189203.38204.d5) Schuh R, Panotopoulos J, Puchner SE, Willegger M, Hobusch GM, Windhager R, et al. Vascularised or nonvascularised autologous fibular grafting for the reconstruction of a diaphyseal bone defect after resection of a musculoskeletal tumor. Bone Joint J. 2014;96–b:1258–63. (PMID: 2518360010.1302/0301-620X.96B9.33230) Aponte-Tinao L, Ayerza MA, Muscolo DL, Farfalli GL. Survival, recurrence, and function after epiphyseal preservation and allograft reconstruction in osteosarcoma of the knee. Clin Orthop Relat Res. 2015;473:1789–96. (PMID: 2535226210.1007/s11999-014-4028-5) Liu S, Tao S, Tan J, Hu X, Liu H, Li Z. Long-term follow-up of fibular graft for the reconstruction of bone defects. Med (Baltim). 2018;97:e12605. (PMID: 10.1097/MD.0000000000012605) Ferchaud F, Rony L, Ducellier F, Cronier P, Steiger V, Hubert L, et al. Reconstruction of large diaphyseal bone defect by simplified bone transport over nail technique: a 7-case series. Orthop Traumatol Surg Res. 2017;103:1131–36. (PMID: 2864570410.1016/j.otsr.2017.05.016) Jeon DG, Kawai A, Boland P, Healey JH. Algorithm for the surgical treatment of malignant lesions of the proximal tibia. Clin Orthop Relat Res. 1999;(358):15–26. Muscolo DL, Ayerza MA, Aponte-Tinao LA, Ranalletta M. Partial epiphyseal preservation and intercalary allograft reconstruction in high-grade metaphyseal osteosarcoma of the knee. J Bone Joint Surg Am. 2005;87(Suppl 1):226–36. (PMID: 16140796) Ruggieri P, Mavrogenis AF, Pala E, Romantini M, Manfrini M, Mercuri M. Outcome of expandable prostheses in children. J Pediatr Orthop. 2013;33:244–53. (PMID: 2348225910.1097/BPO.0b013e318286c178) Staals EL, Colangeli M, Ali N, Casanova JM, Donati DM, Manfrini M. Are complications associated with the Repiphysis ® expandable distal femoral prosthesis acceptable for its continued use? Clin Orthop Relat Res. 2015;473:3003–13. (PMID: 25995179452351110.1007/s11999-015-4355-1) Lu Y, Chen G, Long Z, Li M, Ji C, Wang F, et al. Novel 3D-printed prosthetic composite for reconstruction of massive bone defects in lower extremities after malignant tumor resection. J Bone Oncol. 2019;16:100220. (PMID: 31044134647973410.1016/j.jbo.2019.100220) Wong KC, Kumta SM. Joint-preserving tumor resection and reconstruction using image-guided computer navigation. Clin Orthop Relat Res. 2013;471:762–73. (PMID: 2294852410.1007/s11999-012-2536-8) Liu T, Zhang X, Zhang Q, Zhang X, Guo X. Total femoral reconstruction with custom prosthesis for osteosarcoma. World J Surg Oncol. 2016;14:93. (PMID: 27030028481519010.1186/s12957-016-0852-2) Sewell MD, Hanna SA, McGrath A, Aston WJ, Blunn GW, Pollock RC, et al. Intercalary diaphyseal endoprosthetic reconstruction for malignant tibial bone tumors. J Bone Joint Surg Br. 2011;93:1111–17. (PMID: 2176863810.1302/0301-620X.93B8.25750) |
| معلومات مُعتمدة: | 2022JJ30441 the Hunan Provincial Natural Science Foundation of China; 202202023751；D202304077225 the Project of Hunan Provincial Health Commission; kq2202270; kq2208316 the Changsha Natural Science Foundation of China; 21B0383 the Scientific Research Fund of Hunan Provincial Education Department |
| فهرسة مساهمة: | Keywords: Endoprosthetic replacement; Epiphyseal preservation; Limb salvage; Osteosarcoma; Reconstruction |
| تواريخ الأحداث: | Date Created: 20240720 Date Completed: 20240720 Latest Revision: 20240917 |
| رمز التحديث: | 20240918 |
| مُعرف محوري في PubMed: | PMC11264714 |
| DOI: | 10.1186/s12891-024-07651-3 |
| PMID: | 39033278 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2474 |
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| DOI: | 10.1186/s12891-024-07651-3 |