Page 123 - Reconstructive Techniques in Musculoskeletal Tumor Surgery
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Table 1. continued
Long bone involved by tumor
Tibia
Femur
Humerus
Radius
Ulna 22
Portion of bone involved by tumor
Metaphysis-diaphysis Diaphysis Metaphysis Epiphysis-metaphysis Epiphysis-diaphysis
Graft length
<4 cm
4 – 7.9 cm 8 – 12 cm >12 cm
Cortical circumference resected
<25%
25%-50%
51%-75%
>75% 65
No. %
44 40 40 36 17 15 6 5 4 4
7 6 41 37 45 41 18 16
46 41 46 41 13 12
6
Inlay allografts
54 49 48 43 5 5 2 2
Osteosynthesis
Screws
Plate
None (press- t) Plate and screws Cerclage wires
Adjuvant therapy
Chemotherapy
Radiation therapy
Complications of the reconstruction
Fracture of host bone Infection
Nonunion
Allograft fracture
Patients with ≥1 reoperation(s) Failures
Mechanical reasons
Non-mechanical reasons Follow-up
≥5 years ≥10 years
*Includes the 31 patients with ten or more years of follow-up.
78 70 16 14 11 10 4 4 2 2
12 11 6 5
20 18 8 7 8 7 3 3 41 37
2 2 13 12
70* 63 31 28
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