Page 124 - Reconstructive Techniques in Musculoskeletal Tumor Surgery

Chapter 6
Figures 1A-C. Lateral radiographs of a 17-year-old girl diagnosed with an adamantinoma of the tibia. (1A) Radiograph made six weeks after resection of the anterior portion of the tibia and reconstruction with a 9-cm-long inlay allograft xed to the host bone with two screws. (1B) Two weeks later, the remaining cortex fractured at the level of the distal osteotomy site and was treated conservatively with a cast. (1C) Radiograph of the a ected leg made 30 months after the index surgery. The fracture healed uneventfully, and there is sound incorporation at both osteotomy sites.
Figures 2A-C. Lateral radiographs of a 24-year-old woman diagnosed with a periosteal chondrosarcoma. (2A) Preoperative radiograph showing a lesion, with alternating osteolytic and sclerotic areas, in close relationship with the dorsal cortex of the distal part of the femur. (2B) Three months after resection of the tumor and xation of an allograft to the host bone with a single screw, there are no clear signs of allograft incorporation. (2C) Four years after the index procedure, there is sound incorporation of the allograft.
Mechanical Complications and Infection
Thirty-seven patients (33%) had a mechanical complication or infection (Henderson type 1, 2, 3, or 4 complication23). Forty-one patients (37%) required one or more reoperations (1 to 7). Patients experienced their rst complication after a median of 11 months (one day to 8.6 years) and their last after a median of 15 months (1 day to 20.0 years).
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