Reconstruction of the distal tibia following resection of aggressive bone tumours using a custom-made megaprosthesis.

Yang, P; Evans, S; Khan, Z; Abudu, A; Jeys, L; Grimer, R · J Orthop · 2017

retrospective_cohort · Level III

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Abstract

Largest, single-centre study of clinical and functional outcomes of patients who underwent endoprosthetic replacement (EPR) for aggressive distal tibial bone tumours. Retrospective observational study of eight patients was undertaken. Median follow-up was 77 months (range 13-276). Cumulative five and ten year survival was 63% and 42% respectively. Three patients developed either disease recurrence or metastases post-surgery. One patient developed deep infection requiring washout and suppressive antibiotics. No patients required revision surgery. The median MSTS score at last follow up was 66%. EPR of the distal tibia is a viable option and provides good function outcomes.

Anatomy