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Limb salvage for proximal tibial tumours using a modular prosthesis
ILYAS I; YOUNGE D; PANT R
INT ORTHOP , 2000, vol. 24, n° 4, p. 208-211 Doc n°: 97632 Localisation : Bibliothèque Universitaire de Médecine de Nancy Descripteurs : DE66 - TRAITEMENTS - TIBIA-PERONE We report early results after the resection of proximal tibial tumours followed by reconstruction using a modular prosthesis. The indication for wide resection was a malignant tumour in 13 patients, and a neglected giant cell tumour in 2. There were no mechanical failures during an average follow-up of 3.5 years. However, there were 5 peroneal nerve palsies, 1 complete sciatic nerve palsy, 1 vascular injury leading to an above knee amputation, and 2 deep prosthetic infections. There were 2 superficial skin necroses and I fracture proximal to the femoral prosthetic component. The mean post-operative Musculo-Skeletal Tumour Society (MSTS) score in 12 patients who still had their prosthesis in situ was 18.3 out of a possible total of 30 (range: 10-28). Limb salvage surgery in the proximal tibia has a high early complication rate even with the use of modern implants and improved techniques. Langue : ANGLAIS Identifiant basis : 2000213558 |
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