期刊论文详细信息
World Journal of Surgical Oncology
Distraction osteogenesis and arthrodesis as a new surgical option for chondrosarcoma in the distal tibia
Xianan Li1  Gang Huang1  Xinyu Yao1  Xin Wang1  Jianfan Liu1  Yi Luo1  Linqing Li1  Xuezheng Xu1  Zhengxiao Ouyang1 
[1] Department of Orthopaedics, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283 Tongzipo Road, Changsha 410012, Hunan, China
关键词: Arthrodesis;    Bone lengthening;    Distraction osteogenesis;    Chondrosarcoma;    Limb salvage;   
Others  :  1209006
DOI  :  10.1186/s12957-015-0604-8
 received in 2015-02-16, accepted in 2015-05-13,  发布年份 2015
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【 摘 要 】

Recent advances in the management of bone tumors have led to a significant increase in the survival rates of patients with malignant bone tumors. Thus, limb salvage surgery has gained importance for preserving limb function in the management of bone tumors. However, surgery presents unique difficulties in terms of the biomechanics and obtaining a soft-tissue cover, such as when the ankle is involved in the primary malignant bone tumor. We report a case of chondrosarcoma of the distal tibia treated with wide en bloc resection arthrodesis and reconstruction of the defect using distraction osteogenesis, which offers an effective alternative protocol for limb salvage. The patient has remained disease free for 3 years since the initial surgery and can maintain normal limb athletic function.

【 授权许可】

   
2015 Ouyang et al.; licensee BioMed Central.

【 预 览 】
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【 参考文献 】
  • [1]Watanabe K, Tsuchiya H, Yamamoto N, Shirai T, Nishida H, Hayashi K et al.. Over 10-year follow-up of functional outcome in patients with bone tumors reconstructed using distraction osteogenesis. J Orthop Sci. 2013; 18:101-9.
  • [2]Grimer RJ. Surgical options for children with osteosarcoma. Lancet Oncol. 2005; 6:85-92.
  • [3]Kunz P, Bernd L. Methods of biological reconstruction for bone sarcoma: indications and limits. Recent Results Cancer Res. 2009; 179:113-40.
  • [4]Messerschmitt PJ, Garcia RM, Abdul-Karim FW, Greenfield EM, Getty PJ. Osteosarcoma. J Am Acad Orthop Surg. 2009; 17:515-27.
  • [5]Heare T, Hensley MA, Dell’Orfano S. Bone tumors: osteosarcoma and Ewing’s sarcoma. Curr Opin Pediatr. 2009; 21:365-72.
  • [6]Erler K, Yildiz C, Baykal B, Atesalp AS, Ozdemir MT, Basbozkurt M. Reconstruction of defects following bone tumor resections by distraction osteogenesis. Arch Orthop Trauma Surg. 2005; 125:177-83.
  • [7]Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ. A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res. 1993;241–246.
  • [8]Bacci G, Ferrari S, Lari S, Mercuri M, Donati D, Longhi A et al.. Osteosarcoma of the limb. Amputation or limb salvage in patients treated by neoadjuvant chemotherapy. J Bone Joint Surg Br. 2002; 84:88-92.
  • [9]Abed YY, Beltrami G, Campanacci DA, Innocenti M, Scoccianti G, Capanna R. Biological reconstruction after resection of bone tumours around the knee: long-term follow-up. J Bone Joint Surg Br. 2009; 91:1366-72.
  • [10]Tsuchiya H, Tomita K, Minematsu K, Mori Y, Asada N, Kitano S. Limb salvage using distraction osteogenesis. A classification of the technique. J Bone Joint Surg Br. 1997; 79:403-11.
  • [11]Plotz W, Rechl H, Burgkart R, Messmer C, Schelter R, Hipp E, et al. Limb salvage with tumor endoprostheses for malignant tumors of the knee. Clin Orthop Relat Res. 2002;207–215.
  • [12]Abudu A, Grimer RJ, Tillman RM, Carter SR. Endoprosthetic replacement of the distal tibia and ankle joint for aggressive bone tumours. Int Orthop. 1999; 23:291-4.
  • [13]Bishop AT, Wood MB, Sheetz KK. Arthrodesis of the ankle with a free vascularized autogenous bone graft. Reconstruction of segmental loss of bone secondary to osteomyelitis, tumor, or trauma. J Bone Joint Surg Am. 1995; 77:1867-75.
  • [14]Niimi R, Matsumine A, Kusuzaki K, Kuratsu S, Araki N, Aoki Y et al.. Usefulness of limb salvage surgery for bone and soft tissue sarcomas of the distal lower leg. J Cancer Res Clin Oncol. 2008; 134:1087-95.
  • [15]Kawai A, Muschler GF, Lane JM, Otis JC, Healey JH. Prosthetic knee replacement after resection of a malignant tumor of the distal part of the femur. Medium to long-term results. J Bone Joint Surg Am. 1998; 80:636-47.
  • [16]Aho AJ, Ekfors T, Dean PB, Aro HT, Ahonen A, Nikkanen V. Incorporation and clinical results of large allografts of the extremities and pelvis. Clin Orthop Relat Res. 1994; 307:200-213.
  • [17]Hornicek FJ, Mnaymneh W, Lackman RD, Exner GU, Malinin TI. Limb salvage with osteoarticular allografts after resection of proximal tibia bone tumors. Clin Orthop Relat Res. 1998; 352:179-186.
  • [18]Thompson RC, Garg A, Clohisy DR, Cheng EY. Fractures in large-segment allografts. Clin Orthop Relat Res. 2000; 370:227-235.
  • [19]Ortiz-Cruz E, Gebhardt MC, Jennings LC, Springfield DS, Mankin HJ. The results of transplantation of intercalary allografts after resection of tumors. A long-term follow-up study. J Bone Joint Surg Am. 1997; 79:97-106.
  • [20]Rodl RW, Ozaki T, Hoffmann C, Bottner F, Lindner N, Winkelmann W. Osteoarticular allograft in surgery for high-grade malignant tumours of bone. J Bone Joint Surg Br. 2000; 82:1006-10.
  • [21]Hornicek FJ, Gebhardt MC, Tomford WW, Sorger JI, Zavatta M, Menzner JP et al.. Factors affecting nonunion of the allograft-host junction. Clin Orthop Relat Res. 2001; 382:87-98.
  • [22]Aronson J, Johnson E, Harp JH. Local bone transportation for treatment of intercalary defects by the Ilizarov technique. Biomechanical and clinical considerations. Clin Orthop Relat Res. 1989; 243:71-79.
  • [23]Li Z, Zhang X, Duan L, Chen X. Distraction osteogenesis technique using an intramedullary nail and a monolateral external fixator in the reconstruction of massive postosteomyelitis skeletal defects of the femur. Can J Surg. 2009; 52:103-11.
  • [24]Hayashi K, Tsuchiya H, Yamamoto N, Takeuchi A, Tomita K. Functional outcome in patients with osteosarcoma around the knee joint treated by minimised surgery. Int Orthop. 2008; 32:63-8.
  • [25]Tsuchiya H, Morsy AF, Matsubara H, Watanabe K, Abdel-Wanis ME, Tomita K. Treatment of benign bone tumours using external fixation. J Bone Joint Surg Br. 2007; 89:1077-83.
  • [26]Demiralp B, Ege T, Kose O, Yurttas Y, Basbozkurt M. Reconstruction of intercalary bone defects following bone tumor resection with segmental bone transport using an Ilizarov circular external fixator. J Orthop Sci. 2014; 19:1004-11.
  • [27]Kapukaya A, Subasi M, Kandiya E, Ozates M, Yilmaz F. Limb reconstruction with the callus distraction method after bone tumor resection. Arch Orthop Trauma Surg. 2000; 120:215-8.
  • [28]McCoy TH, Kim HJ, Cross MB, Fragomen AT, Healey JH, Athanasian EA et al.. Bone tumor reconstruction with the Ilizarov method. J Surg Oncol. 2013; 107:343-52.
  • [29]Tsuchiya H, Abdel-Wanis M, Kitano S, Sakurakichi K, Yamashiro T, Tomita K. The natural limb is best: joint preservation and reconstruction by distraction osteogenesis for high-grade juxta-articular osteosarcomas. Anticancer Res. 2002; 22:2373-6.
  • [30]Shalaby S, Shalaby H, Bassiony A. Limb salvage for osteosarcoma of the distal tibia with resection arthrodesis, autogenous fibular graft and Ilizarov external fixator. J Bone Joint Surg Br. 2006; 88:1642-6.
  • [31]Casadei R, Ruggieri P, Giuseppe T, Biagini R, Mercuri M. Ankle resection arthrodesis in patients with bone tumors. Foot Ankle Int. 1994; 15:242-9.
  • [32]Campanacci DA, Scoccianti G, Beltrami G, Mugnaini M, Capanna R. Ankle arthrodesis with bone graft after distal tibia resection for bone tumors. Foot Ankle Int. 2008; 29:1031-7.
  • [33]Khattak MJ, Umer M, Haroon Ur R, Umar M. Autoclaved tumor bone for reconstruction: an alternative in developing countries. Clin Orthop Relat Res. 2006; 447:138-44.
  • [34]Cavadas PC, Landin L, Ibanez J, Roger I, Nthumba P. Infrapopliteal lower extremity replantation. Plast Reconstr Surg. 2009; 124:532-9.
  • [35]Hierner R, Berger AK, Frederix PR. Lower leg replantation—decision-making, treatment, and long-term results. Microsurgery. 2007; 27:398-410.
  • [36]Tsuchiya H, Tomita K. Distraction osteogenesis for treatment of bone loss in the lower extremity. J Orthop Sci. 2003; 8:116-24.
  • [37]El-Alfy B. Arthrodesis of the ankle joint by Ilizarov external fixator in patients with infection or poor bone stock. Foot Ankle Surg. 2010; 16:96-100.
  • [38]Tsuchiya H, Shirai T, Morsy AF, Sakayama K, Wada T, Kusuzaki K et al.. Safety of external fixation during postoperative chemotherapy. J Bone Joint Surg Br. 2008; 90:924-8.
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