Fibula-Assisted Segment Transport (FAST) for Defect Reconstruction after Resection of Tibial Adamantinoma: Report of Two Treatments
| Autor: | Georg Gosheger, A Laufer, Nils Deventer, Anna Rachbauer, R Roedl, E Jacob, G Toporowski, A Frommer, B Vogt |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Orthopedic surgery
030222 orthopedics medicine.medical_specialty Adamantinoma business.industry Defect reconstruction Case Report General Medicine medicine.disease law.invention Resection Surgery Intramedullary rod 03 medical and health sciences 0302 clinical medicine law Medicine Tibial Adamantinoma 030212 general & internal medicine Tibia Tibial bone Fibula business RD701-811 |
| Zdroj: | Case Reports in Orthopedics, Vol 2021 (2021) Case Reports in Orthopedics |
| ISSN: | 2090-6757 2090-6749 |
| Popis: | Intramedullary limb lengthening via lengthening nails has been performed for more than three decades to overcome leg length inequalities. Plate-assisted bone segment transport (PABST) has recently been described for the reconstruction of segmental bone defects. We modified this procedure by using the ipsilateral fibula as a “biological plate” and report on its technical particularities and application in the reconstructive treatment of adamantinomas of the tibia in two patients. Both patients were successfully treated by wide resection and reconstruction of the tibial bone via bone segment transport through an expandable intramedullary nail using the remaining ipsilateral fibula to provide stabilization and guidance. This procedure was titled “fibula-assisted segment transport” (FAST). This is a new and promising technique that allows an entirely biological reconstruction of large bone defects of the tibia. |
| Databáze: | OpenAIRE |
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