Page 134 - Reconstructive Techniques in Musculoskeletal Tumor Surgery
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Chapter 6
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Table 5. Overview of literature on hemicortical resections and reconstructions.
Year
No. of patients Diagnoses (%)
Deijkers et al3 2002 22
Agarwal et al11 2007 10
Liu et al15 2013
Funovics et al12 2011
Lewis et al14 2000
Chen et al13 2012
Lindner et al24 1996
Current study 2015
Benign
Low-grade malignant Intermediate-grade malignant High-grade malignant
13 8† 6 6 4 111 - - - - - - - 13
Long bone involved by tumor (%) Humerus
- - - - - 5 - - - - - 2
Allograft
Autograft Autogenous iliac crest
100
-
-
64 (27 - 135) 11 (6 - 20)
50
30
20
51 (40 - 61) 10 (4-16)
-
100
-
102 (58 - 142) 11 (8 - 13)
25
25
50 107 (14 - 289) NR
100 33 - 100 - 67 100 - ----
Mean follow-up (range) (mo)
51 (38 - 63) NR
-
-
-
-
-
-
52 (24 - 96) NR
-
-
-
-
-
-
88 (20 - 161) NR
-
-
-
-
-
-
89
(8 - 274) 9 (2 - 20) 7
18
3
7
14 14
Mean reconstruction length (range) (cm) Infection (%)
Fracture of host bone (%)
Allograft fracture (%)
- - NR
13 - -
Nonunion (%)
Residual / recurrent tumor (%) - -
- - 8 13 - 13
100 90 - - - 10
100100100-10055 ----- 20 ---100- 13
9 10
Ulna -------2
Radius - Femur 45
10 60 20 -
100 -
-
88 100 17 100 43
Tibia
Intralesional excisions (%) Reconstruction (%)
45 -
13 25
- 83 - 49 - - 25 11
27 10 - - - -
15 NR
Failure (%)
*NR = not reported. †The study population comprised twenty-eight patients, but only eight had hemicortical resection. The results
- -
in this table refer
to those patients only.
