RESECTION OF ANKLE TUMOR LESION AND RECONSTRUCTION WITH THE USE OF ALLOGRAFT.

Autor:	Motta DPD; Fellow in Oncological Orthopedics, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brazil., Arruda BG; Orthopedic Resident, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brazil., Pinheiro RCES; Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Centro de Atenção Especializada em Ortopedia Oncológica, Rio de Janeiro, RJ, Brazil., Ribeiro GA; Orthopedic Resident, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brazil., Delocco BC; Fellow in Oncological Orthopedics, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brazil., Fiorelli BO; Fellow in Oncological Orthopedics, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brazil., Witte EAL; Fellow in Oncological Orthopedics, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brazil., Meohas W; Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Centro de Atenção Especializada em Ortopedia Oncológica, Rio de Janeiro, RJ, Brazil.
Jazyk:	angličtina
Zdroj:	Acta ortopedica brasileira [Acta Ortop Bras] 2023 Oct 23; Vol. 31 (5), pp. e266018. Date of Electronic Publication: 2023 Oct 23 (Print Publication: 2023).
DOI:	10.1590/1413-785220233105e266018
Abstrakt:	Reconstruction of the distal third of the tibia due to resection of a malignant tumor has some hindering factors, such as a thin subcutaneous layer, neurovascular bundles that cross compartments, prolonged operative duration, specific orthopedic material, and a trained multidisciplinary team. Allografting with material from tissue banks is part of this orthopaedic arsenal. Objective: To describe the protocol used at Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad. Methods: Series of six cases subjected to resection with oncologic margins, allograft reconstruction, and use of a retrograde ankle nail as limb-salvage surgery. Three of the six patients were women, the lesions were on average 9.3 cm long, and the average operative duration was 3.25 hours. Results: The main short-term complication (≤ 30 days) was peroneal nerve palsy, while the main long-term complication (> 30 days) was surgical site infection (two cases). Consolidation of the two foci occurred in three patients, and two patients developed asymptomatic pseudoarthrosis of the proximal focus with consolidation of the distal focus. Conclusion: Despite the complications, the proposed surgery gives patients the chance to preserve their limb in the face of immediate radical surgery. Level of Evidence IV, Case Series . Competing Interests: All authors declare no potential conflict of interest related to this article.
Databáze:	MEDLINE
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