Limb Salvage pp 117-119 | Cite as

Bone Union in Allografts: Chemotherapy Considerations

  • N. Delepine
  • G. Delepine
  • P. Hernigou
  • D. Goutallier
Conference paper

Abstract

After conservative surgery for bone sarcomas, reconstructive procedures can use massive prostheses or bank allografts. Both have their own advantages and drawbacks. Massive stainless steel prostheses permit immediate weight bearing but do not permit reliable muscle reattachment and are threatened by secondary failures (progressive bone resorption, loosening, stem fracture). Bone bank allografts permit muscle reattachment and usually give better functional results and long-term tolerance but are threatened by fracture, infection, and non-union,especially when chemotherapy is used. This report tries to evaluate the risk of delayed union and nonunion of bone bank allografts when chemotherapy is used.

Keywords

Titanium Sarcoma Doxorubicin Methotrexate Cyclophosphamide 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • N. Delepine
    • 1
  • G. Delepine
    • 1
  • P. Hernigou
    • 2
  • D. Goutallier
    • 3
  1. 1.Pediatric OncologyHôpital Robert DebréParisFrance
  2. 2.Orthopaedic Oncology UnitPre-gentil EuroclinicRosny Sous BoisFrance
  3. 3.Orthopaedic ServiceHôpital Henri MondorCreteilFrance

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