6 YEARS FOLLOW UP OF CHONDROSARCOMA LEFT PROXIMAL FEMUR TREATED WITH RESECTION AND RECONSTRUCTION WITH CUSTOM PROSTHESIS, AUTOLOGOUS BONE GRAFTING AND HAP CYLINDERS.

Autor: GEORGE, MELVIN J., R., KRISHNAKUMAR, J., RENJIT KUMAR
Předmět:
Zdroj: Kerala Journal of Orthopaedics; Jan-Jun/Jul-Dec2015, Vol. 28 Issue 1/2, p72-77, 6p
Abstrakt: High grade chondrosarcomas traditionallywere treated with resection arthrodesis or amputation of the extremity, with unfavorable functional outcomes. Improved imaging and surgical techniques has stimulated the search for a more functional surgical approach. The current trend is for resection and reconstruction to save the limb whenever possible. Since most patients with primary bone sarcoma are young and active, treatment by amputation has poor psychological acceptance. Reconstruction of the defects is the major challenge in the management of bone sarcomas. The options now available are custom made prosthesis and bone grafts. Few studies were done with autologous grafts or custom made prosthesis alone. The combined use of all the modalities enabled us to fill the defect and augment the fixation effectively. We put forward a case report of chondrosarcoma reconstructed after an extensive resection using non vascularised fibula, corticocancellous grafts from ASIS and a custom made prosthesis. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index