Advances in the application of prosthetic reconstruction after tumor resection of the distal tibia:a systematic review
10.3760/cma.j.cn112139-20230510-00200
- VernacularTitle:胫骨下段肿瘤切除术后人工假体重建研究进展的系统综述
- Author:
Haibin XIANG
1
;
Akbar YUNUS
;
Zheng TIAN
;
Jiangtao CHEN
;
Yashengjiang YADIKAN
Author Information
1. 新疆医科大学第一附属医院骨肿瘤外科，乌鲁木齐 830011
- Keywords:
Bone neoplasms;
Tibia;
Distal tibia;
Ankle;
Megaprosthesis
- From:
Chinese Journal of Surgery
2023;61(12):1130-1134
- CountryChina
- Language:Chinese
-
Abstract:
The limited coverage of soft tissue and complex biomechanical factors make resection and reconstruction of distal tibial tumors extremely challenging. Megaprosthesis can provide good mechanical strength for tumor en bloc resection, but there are many postoperative complications, and the problems of insufficient soft tissue coverage and postoperative ankle instability must be solved. The development of three-dimensional digital technology may provide a new treatment strategy for distal tibial reconstruction. Compared to ankle joint preservation endoprostheses, the rapid osseointegration effect of three dimensional-printed megaprosthesis with ankle arthrodesis provides better ankle joint stability and postoperative function. In addition, the three dimensional-printed megaprosthesis may improve complications such as insufficient soft tissue coverage and talus collapse by reducing the circumference of the prosthesis and matching it with the talus through personalized design. Of course, there are few research reports on distal tibial prostheses, and the safety of three dimensional-printed megaprosthesis with ankle arthrodesis needs to be confirmed through extensive long-term follow-up studies. The selection of proximal and distal fixation methods for prostheses needs to be explored in future research.
