Abstract
Complications are frequent with osteoarticular allografts, and their long-term survivorship in the distal femur is unclear. Thus, the benefits of osteoarticular allografting remain controversial. We therefore determined the frequency of complications in osteoarticular allografts of the distal femur relative to their potential long-term survival. We retrospectively reviewed 26 patients who had osteoarticular allograft reconstruction of the distal femur after resection of a malignant or aggressive benign tumor of bone. The minimum followup was 15 months (average, 156 months; range, 15-283 months) for all patients and 98 months (average, 191 months; range, 98-283 months) for the surviving patients. At last followup, 16 of the 26 original allografts were still in place. The overall 5-year and 10-year allograft survival rates were 69% and 63%, respectively. The 5-year and 10-year survival rates of the joint surface were 79% and 65%, respectively. Eleven patients retained their original osteoarticular allograft without a resurfacing procedure, and nine had been converted to allograft-prosthetic composites. Five patients were converted to megaprostheses and one had an amputation for local recurrence. At last followup, 25 of 26 patient...Continue Reading
References
Nov 1, 1992·The Journal of Bone and Joint Surgery. British Volume·D L MuscoloM E Calabrese
Sep 1, 1991·The Journal of Bone and Joint Surgery. British Volume·P RobertsJ T Scales
Mar 1, 1987·The Journal of Bone and Joint Surgery. British Volume·C F BradishJ N Wilson
Aug 15, 1982·Cancer·H J MankinW W Tomford
Nov 1, 1993·The Journal of Bone and Joint Surgery. American Volume·R C ThompsonD Garry
Mar 1, 1996·Clinical Orthopaedics and Related Research·H J MankinW W Tomford
Jan 1, 1997·The Journal of Bone and Joint Surgery. American Volume·E Ortiz-CruzH J Mankin
Aug 12, 1998·The Journal of Bone and Joint Surgery. British Volume·H AkazawaH Inoue
May 16, 2000·Clinical Orthopaedics and Related Research·D L MuscoloL A Aponte-Tinao
Jun 9, 2001·Journal of Surgical Oncology·J S WunderR S Bell
Sep 11, 2003·Clinical Orthopaedics and Related Research·F LanglaisH Thomazeau
Apr 2, 2004·Clinical Orthopaedics and Related Research·Erik N ZeegenHenry J Mankin
Nov 3, 2005·The Journal of Bone and Joint Surgery. American Volume·D Luis MuscoloMaximiliano Ranalletta
Sep 5, 2006·The Journal of Bone and Joint Surgery. American Volume·D Luis MuscoloMaximiliano Ranalletta
Jun 4, 2008·Sarcoma·A M DavisR S Bell
Oct 24, 2009·Clinical Orthopaedics and Related Research·David J BiauPhilippe Anract
Dec 25, 2009·Clinical Orthopaedics and Related Research·Adam J SchwartzJeffrey J Eckardt
Citations
Oct 22, 2015·Orthopedics·Saran SubhadrabandhuHiroyuki Tsuchiya
Jul 26, 2017·JBJS Reviews·Carol D MorrisAdam S Levin
Feb 15, 2018·JBJS Case Connector·Suresh K NayarKristy L Weber
Mar 17, 2015·International Orthopaedics·Zhigang WuHongbin Fan
Mar 7, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H-U SteinauL Podleska
Dec 10, 2015·Clinical Orthopaedics and Related Research·Michaël P A BusP D Sander Dijkstra
Oct 19, 2019·Clinical Orthopaedics and Related Research·Irene Barrientos-RuizRodrigo Merino-Rueda
Mar 31, 2011·Journal of Surgical Oncology·Won Seok SongSoo-Yong Lee
Jul 4, 2012·Clinical Orthopaedics and Related Research·Hongbin FanXiangdong Li
Apr 8, 2017·The Bone & Joint Journal·M P A BusP D S Dijkstra
Jul 1, 2016·JBJS Case Connector·Thomas J Scully
Nov 26, 2019·Clinical Orthopaedics and Related Research·Irene Barrientos-RuizRodrigo Merino-Rueda
Mar 14, 2020·Clinical Orthopaedics and Related Research·Luis A Aponte-TinaoGerman L Farfalli
Jul 9, 2020·Clinical Orthopaedics and Related Research·Andre Mathias Baptista
Jan 26, 2021·Curēus·Manuel R MedellinCamilo Soto Montoya
Feb 8, 2021·Injury·Meir T MarmorTheodore Miclau
Apr 18, 2021·Current Reviews in Musculoskeletal Medicine·Deepak GautamRajesh Malhotra
May 20, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Costantino ErraniMarco Manfrini