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Moderator’s Comment

  • Frantz Langlais
Conference paper

Abstract

From this second part of the symposium, it appears that with tumors of the upper tibia it is now obviously worth trying limb salvage procedures and that primary amputation or rotationplasty should be limited to cases with a tumoral extension to the tibio peroneal neurovascular bundle. If the bundle is spared but anterior extension of the tumor demands a large excision of the extensor apparatus, knee fusion is a reliable procedure; it can be simplified by the use of an allograft (fixed by centromedullar nailing with a custom femorotibial titanium alloy nail), or by the use of an SDR (segmental defeet reconstruction) prosthesis. If the major part of the extensor apparatus can be retained, the function of the knee should be saved. Articular allograft is of great interest in primary treatment of low-grade tumors, but in high-grade tumors total knee prosthesis seems to be more reliable.

Keywords

Bone Ingrowth Total Knee Prosthesis Joint Reconstruction Extensor Apparatus Primary Amputation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Dubousset J, Missenard G (1983) Reconstruction of quadriceps insertion by aponeurotic and muscular plasties after proximal tibia replacement in osteogenic sarcoma. In: Kotz R (ed) Proceedings of 2nd international workshop on the design and application of tumor prostheses for bone and joint reconstruction, Vienna, Sept. 5–8, 1983. Egermann, Vienna, pp 275–279Google Scholar
  2. 2.
    Langlais F, Bunetel L, Segui A, Sassi N, Cormier M (1988) Taux osseux d’antibiotiques et ciments prothétiques. Efficacité et durée d’action. Rev Chir Orthop (Paris)Google Scholar
  3. 3.
    Langlais F, Aubriot JH, Tomeno B, Vielpeau C (submitted) Prothèse Guepar de reconstruction de l’extrémité inférieure du fémur. Résultats à moyen terme de 20 résections pour tumeurs. Orientations actuelles. Rev Chir OrthopGoogle Scholar
  4. 4.
    Malawer MM (1983) The use of gastrocnemius transposition flap with limb surgery for knee sarcomas: Indications and technique. In: Kotz R (ed) Proceedings of 2nd international workshop on the design and application of tumor prostheses for bone and joint reconstruction, Vienna, Sept. 5–8, 1983. Egermann, Vienna, pp 270–274Google Scholar

Copyright information

© Springer-Verlag Tokyo 1989

Authors and Affiliations

  • Frantz Langlais
    • 1
  1. 1.Service de Chirurgie Orthopédique et RéparatriceCentre Hospitalier UniversitaireRennesFrance

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