Page 133 - Reconstructive Techniques in Musculoskeletal Tumor Surgery

and those <8 cm in length. Hemicortical resection is not recommended for high- grade lesions. The elevated risk of residual or recurrent tumor may, however, be acceptable for low and intermediate-grade lesions, given the excellent mechanical complication rates and the fact that most failures can be managed with a second (limb-salvaging) procedure. Modern imaging techniques play a pivotal role in ensuring that clear margins are obtained. If the aforementioned requirements are met, hemicortical resection and allograft reconstruction is a safe and reliable alternative to more comprehensive segmental resections.
Note: the authors gratefully acknowledge Prof. A.H.M. Taminiau, emeritus professor at the Department of Orthopaedic Surgery of the Leiden University Medical Center, for operating on a substantial number of the patients included in this study.
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Inlay allografts
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