Abstract
Bone tumors around the knee joint are successfully treated with prosthetic replacement. However, resecting the tumor with the physis leads to limb length discrepancy. Epiphyseal distraction prior to resection creates a safe bone bridge between the physeal area and the tumor, thus rendering intercalary resections possible. We present a case with distal femoral osteosarcoma. Initially, it was not possible to preserve knee joint due to the close proximity of the tumor. Therefore, we performed an epiphyseal distraction to gain a safe bone bridge and performed resection in combination with biologic reconstruction.
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References and Suggested Reading
Canadell J, Forriol F, Cara J (1994) Removal of metaphyseal bone tumours with preservation of the epiphysis. Physeal distraction before excision. J Bone Jt Surg Br 76-B(1):127–132
San-Julian M et al (2003) Limb salvage in bone sarcomas in patients younger than age 10: a 20-year experience. J Pediatr Orthop 23(6):753–762
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© 2015 Springer International Publishing Switzerland
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Eralp, L., Eren, I. (2015). Case 65: Distraction Epiphysiolysis Prior to Resection of a Malignant Bone Tumor (Osteosarcoma). In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18020-5_270
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DOI: https://doi.org/10.1007/978-3-319-18020-5_270
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18019-9
Online ISBN: 978-3-319-18020-5
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