Clinical and functional outcomes of tibial intercalary allograft reconstructions
| Autor: | Lucas López Millán, Luis Aponte Tinao, Germán L Farfalli, Miguel A Ayerza, D Luis Muscolo |
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| Jazyk: | English<br />Spanish; Castilian |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Revista de la Asociación Argentina de Ortopedia y Traumatología, Vol 77, Iss 3, Pp 192-196 (2012) |
| Druh dokumentu: | article |
| ISSN: | 1515-1786 1852-7434 |
| DOI: | 10.15417/141 |
| Popis: | Background The purpose of this study was to evaluate the survival, the complications and the functional outcome of intercalary tibial allografts reconstructions following tumor resections. Methods Intercalary tibia segmental allografts were implanted in 26 consecutive patients after segmental resections. Average follow-up was 6 years. Allograft survival was determined with the Kaplan-Meier method. Function was evaluated with the Musculoskeletal Tumor Society scoring system (MSTS). Results The rate of survival was 84% (CI 95%: 90%- 70%) at 5 years and 79% at 10 years (CI 95%: 95%-63%). Allografts were removed in 5 patients (3 due to infections and 2 due to local recurrences). Two patients showed diaphyseal nonunion and 3 had an incomplete fracture, but it was not necessary to remove the allografts. Average MSTS functional score was 29 points (range 27 to 30). Conclusions Despite the incidence of complications, this analysis showed an acceptable survival with excellent functional scores. The use of intercalary allograft clearly has a place in the reconstruction of a segmental defect created by the resection of a tumor in the diaphyseal and/or metaphyseal portion of the tibia. |
| Databáze: | Directory of Open Access Journals |
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