The study show the clinical results of limb salvage for primary malignant bone tumor of the distal tibia using block excision of the tumor and reconstruction with allograft arthrodesis with different methods of fixation (plates or intramedullary nail system)
It is well known that before the 1980's the usual treatment for the sarcomas of the distal tibia was amputation (1). Currently, however, after the improvement of the chemotherapy treatments, potential reconstructions of the area in well studied patients are possible, and for that we have a wide range: auto graft, allograft and prosthetic reconstructions (2, 3) Is important to know that osteosarcoma still meant the principal diagnosis, followed by the Ewing sarcoma and synovial sarcoma, but their malignant potency is lower than when they are present in the rest of the body (4, 5, and 6) The purpose of this study is to recollect the patients' data followed from different institutions and countries that have the criteria for their inclusion in the study (primary malignant bone tumor of the distal tibia that underwent block excision of the tumor and reconstruction with allograft arthrodesis from the patient management for any of the multidisciplinary sarcoma team including in this study).
Study Type
OBSERVATIONAL
Enrollment
20
patients that underwent trought a block resection of a malignant tumor of the distal tibia and reconstruction with allograft arthrodesis
Panama Children Hospital
Panama City, Panama
RECRUITINGprincipal diagnosis of the patients that wen trough ankle after resection of a primary malignant tumor of the distal tibia
osteosarcoma: 5 patientas (2 females of 18 and 15 years old and 3 males of 19, 24 and 16 years old) telangiectasic osteosarcoma (1 female of 21 years old) Ewing sarcoma (1 male of 33 years old)
Time frame: 1 month
mobility
surgical site infection, non union, malunion, osteosynthesis material failure
Time frame: 5 month to 10 years follow up
mortality
secundary of the primary tumor diagnosis or metastatic disease of it
Time frame: 5 months to 10 years follow up
MSTS SCORE
total points score of the msts score at the final follow up
Time frame: 5 month to 10 years follow up
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