Reconstruction of the extensor mechanism after proximal tibia endoprosthetic replacement

The Journal of Arthroplasty
J BickelsMartin M Malawer

Abstract

The proximal tibia is a difficult area in which to perform a wide resection of a bone tumor. This difficulty is due to the intimate relationship of tumor in this location to the nerves and blood vessels of the leg, inadequate soft tissue coverage after endoprosthetic reconstruction, and the need to reconstruct the extensor mechanism. Competence of the extensor mechanism is the major determinant of functional outcome of these patients. Between 1980 and 1997, 55 patients underwent proximal tibia resection with endoprosthetic reconstruction for a variety of malignant and benign-aggressive tumors. Reconstruction of the extensor mechanism included reattachment of the patellar tendon to the prosthesis with a Dacron tape, reinforcement with autologous bone-graft, and attachment of an overlying gastrocnemius flap. All patients were followed for a minimum of 2 years; 6 patients (11%) had a transient peroneal nerve palsy, 4 patients (7.2%) had a fasciocutaneous flap necrosis, and 2 patients (3.6%) had a deep wound infection. Full extension to extension lag of 20 degrees was achieved in 44 patients, and 8 patients required secondary reinforcement of the patellar tendon. Function was estimated to be good to excellent in 48 patients (87%). ...Continue Reading

References

Nov 1, 1979·The Journal of Bone and Joint Surgery. British Volume·M Campanacci, P Costa
Jan 1, 1983·Journal of Cancer Research and Clinical Oncology·R Kotz
Mar 1, 1996·Clinical Orthopaedics and Related Research·H J MankinW W Tomford
Feb 1, 1996·The Journal of Bone and Joint Surgery. American Volume·S D WeinerR A Vander Griend
Jul 1, 1996·The Journal of Bone and Joint Surgery. American Volume·R M UrbanJ O Galante
Oct 21, 2000·The Journal of Bone and Joint Surgery. British Volume·R W RödlW Winkelmann

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Citations

Jan 16, 2008·Clinical Orthopaedics and Related Research·Davide DonatiMario Mercuri
May 12, 2011·Sarcoma·Boris Michael HolzapfelErwin Steinhauser
May 17, 2012·Orthopedics·Andreas F MavrogenisPanayiotis J Papagelopoulos
Aug 5, 2009·Clinical Orthopaedics and Related Research·Richard J O'Donnell
Jul 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Nathan F GilbertPatrick P Lin
Oct 12, 2004·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·C J PendegrassG W Blunn
May 22, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Santiago A Lozano CalderónFrancis J Hornicek
Jul 19, 2012·Journal of Surgical Oncology·Andreas F MavrogenisPietro Ruggieri
Apr 22, 2008·Clinical Orthopaedics and Related Research·Vijay Titus, Mark Clayer
Dec 19, 2009·Clinical Orthopaedics and Related Research·D Luis MuscoloLuis A Aponte-Tinao
May 13, 2006·Clinical Orthopaedics and Related Research·Georg GoshegerJendrik Hardes
Aug 15, 2006·Clinical Orthopaedics and Related Research·Miguel A AyerzaD Luis Muscolo
Aug 29, 2006·Clinical Orthopaedics and Related Research·Martin DominkusRainer Ingo Kotz
Aug 10, 2006·Der Orthopäde·L GerdesmeyerP Diehl
Oct 4, 2006·Plastic and Reconstructive Surgery·Rony A MosconaYaron Har-Shai
Nov 9, 2006·Clinical Orthopaedics and Related Research·David Jean BiauPhilippe Anract
Nov 20, 2014·The Open Orthopaedics Journal·Daniel J JordanAli Juma
Feb 2, 2006·Clinical Orthopaedics and Related Research·Poonam K PardasaneyHenry J Mankin
Jun 8, 2006·The Journal of Bone and Joint Surgery. American Volume·David BiauPhilippe Anract
Sep 1, 2006·The Journal of Bone and Joint Surgery. British Volume·C J PendegrassG W Blunn
May 25, 2010·Clinical Orthopaedics and Related Research·Adam J SchwartzJeffrey J Eckardt
Jul 4, 2019·JBJS Reviews·Spencer H SummersJuan Pretell-Mazzini
Aug 23, 2011·Journal of Orthopaedic Surgery·Saminathan Suresh NathanBarry P Pereira
Jun 30, 2012·Operative Orthopädie und Traumatologie·B M HolzapfelM Rudert
Sep 7, 2018·BMC Musculoskeletal Disorders·Junqi HuangWei Wang
May 13, 2008·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Toshihisa OsanaiToshihiko Ogino
Jun 30, 2012·Operative Orthopädie und Traumatologie·K TriebH-R Dürr
Sep 2, 2009·The Journal of Bone and Joint Surgery. British Volume·S SundarG W Blunn
Feb 13, 2009·Clinical Orthopaedics and Related Research·Thilak S JepegnanamV T K Titus

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