The Results of Endoprosthetic Reconstruction for Tumors of the Distal Tibia and Fibula.
- Author:
Sang Hoon LEE
1
;
Han Soo KIM
;
Yong Bum PARK
;
Jin Young JEONG
;
Tae Yon RHIE
;
Han Koo LEE
Author Information
1. Department of Orthopedic Surgery, Seoul National University College of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Tumor;
Distal tibia and fibula;
Prosthetic reconstruction
- MeSH:
Ankle;
Diagnosis;
Fibula*;
Follow-Up Studies;
Giant Cell Tumors;
Humans;
Osteosarcoma;
Prostheses and Implants;
Tibia*;
Wound Infection
- From:The Journal of the Korean Orthopaedic Association
1999;34(6):1041-1046
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We performed this study in order to analyze the surgical and oncological results of prosthetic reconstruction of the distal tibial or fibular tumors and estimate the effectiveness of this kind of reconstruction in that region. MATERIALS AND METHODS: The data of six patients who underwent prosthetic reconstruction for the distal tibial or fibular tumors were reviewed. Diagnoses were osteosarcoma in four patients, parosteal osteosarcoma in one and recurrent giant cell tumor in one. Five tumors occurred at the distal tibia and one at the distal fibula. The age was 26 years (11-46 years). We performed resection and reconstruction using custom made tumor prosthesis. The mean follow-up duration was 5.8 years. RESULTS: Average functional score by ISOLS evaluation system was 24.2 (80.5%). All of the patients were continuously disease free at the final follow up. The complications were one wound infection and one collapse of talar component. CONCLUSION: The results of prosthetic reconstruction in the ankle regions demonstrated acceptable medium term results. It may be considered an option for malignant tumors of the distal tibia or the distal fibula in selected patients.
