A 2-stage distal femur reconstruction with expandable endoprosthesis in a pediatric patient presenting with a pathologic fracture through an osteosarcoma.
- Author:
Jasson Louie R. ARCINUE
1
;
Edward H.M. WANG
1
;
Gregorio Marcelo S. AZORES
1
Author Information
- Publication Type:Journal Article
- Keywords: Limb Salvage Surgery; Expandable Tumor Endoprosthesis
- MeSH: Human; Male; Osteosarcoma
- From: Acta Medica Philippina 2019;53(1):90-93
- CountryPhilippines
- Language:English
-
Abstract:
Osteosarcoma in pediatric patients has traditionally been treated with amputation, especially if there is a pathologic fracture through the tumor.
We report the case of a 12-year-old boy who sustained a pathologic fracture through distal femoral osteosarcoma. After neoadjuvant chemotherapy, he underwent limb saving surgery: wide excision of the osteosarcoma followed by a second-stage reconstruction with an expandable tumor endoprosthesis. He has a functional score of 93% and is free of disease 8 years since diagnosis and 2 years since the end of lengthening.
This is the first reported case in Philippine medical literature of limb saving surgery in osteosarcoma reconstructed with an expandable endoprosthesis.
- Full text:232-Article Text-907-1-10-20191104.pdf
