Recostruction for Complications of Longterm Survivor after Total Knee Replacement for Bone Sarcoma of the Knee
| Autor: | Sansen Yoh, Teruto Isayama, Nahoto Takagishi, Kenzoh Yoshitake, Keihan Cho, Yoshitomo Higuti |
|---|---|
| Rok vydání: | 1991 |
| Předmět: | |
| Zdroj: | Orthopedics & Traumatology. 40:507-511 |
| ISSN: | 1349-4333 0037-1033 |
| Popis: | Limb-saving surgery plays an increasingly important role in the treatment of malignant tumors of the extremities.This type of surgery may pose special problems in longterm survivors. The different possibilities of reconstruction after a tumor resection and repercussions in growth are discussed.Case 1. In this ten year old girl with osteosarcoma of the left distal femur, wide excision of the tumor site and a total knee replacement were done in September 1983, Two years postoperatively she presented late hematogenous infection of total knee replacement. Three times of surgery, debridement only, remove of prosthesis and two stage revision, wase done. In September 1989 rotationplasty were done because of uncontrolled infection. Case 2. In this twentytwo year old female with malignant fibrous histiocytoma of the left proximal tibia, wide excision of the tumor site and a total knee replacement were done in December 1983. Four years postoperatively she presented patellar tendon rupture, In July 1988 repair of the tendon with the use dacron ligament prosthesis to reattatch the tendon to the tibial component were done. To date, they had been followed for seven years with good function of limb, but without any indication of either local recurrence or metastases.The role of recostruction by means of a rotation plasty versus other methods of recostruction, and the repair of the tendon using ligament prosthesis and autotendon to reattatch the tendon to the tibial component is specially cosidered. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|