Results of Resection of Tumors around Knee with Reconstruction Using Arthrodesis or Endoprosthetic Reconstruction
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
Juxta articular tumors are most common around knee. Wide resection and reconstruction with arthrodesis or Endoprosthesis, for patients with more biologically aggressive, recurrent tumors, is an attractive option. Materials And Methods: 27 patients with mean age of 28.8yrs with , GCT – 21 , Ewings sarcoma – 1 , Chondroblastoma – 1 , Chondrosarcoma – 1, Fibrosarcoma – 1, Fibroma – 1, Benign fibrous histocytoma – 1, 24 benign and 3 malignant were treated from 2004 – 2013 . Wide resection and arthrodesis with dual free fibular graft and intramedullary nail for 19 patients and Endoprostheti c reconstruction for 8 patients. 17 were in distal femur and 10 were in proximal tibia. 17 were females and 10 were males. Mean follow up of 69.4 months. Functional evaluation done using modified system of Musculoskeletal Tumor Score. Results: In Resection Arthrodesis out of 19 patients 15 patients had excellent results, 3 patients had good results.1 patient had fair result. In Endoprosthetic reconstruction out of 8 patients 6 patients had excellent results, 2 patients had good results. Out of the 19 patients who underwent resection arthrodesis 1 patient has soft tissue recurrence , 2 patients has fibular graft site fracture, 1 patient has non union at graft host interface, 1 patient has superficial infection. Out of the 8 patients who underwent endoprosthetic reconstruction 1 patient has soft tissue recurrence of tumor, 1 patient has aseptic loosening of implant , 1 patient has superficial wound infection. Conclusion: Following wide resection of juxta articular tumors reconstruction with arthrodesis and reconstruction with endoprosthesis have good and comparable results .Both procedures give good and satisfactory results with arthrodesis being a very low cost alternative.
Authors and Affiliations
Dr. K. Nageshwar Rao
Keywords
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