Page 159 - Reconstructive Techniques in Musculoskeletal Tumor Surgery

Osteoarticular allografts
7
157
Appendix 2. Overview of literature on osteoarticular allograft reconstruction
Data
Gebhardt Mnaymneh Kocher Hornicek Muscolo DeGroot Muscolo Buecker Muscolo Ogilvie Muscolo Toy
Campanacci
Current study
Year
Patients (n) Localisations (%)
1990 20
PH 100
1994 83
DF 100
1998 24
DR 100
1998 38
PT 100
2000
2004 31
PH 100
2005 71
DF 100
2006
2007
2009
2010 52
PT 100
2010 26
DF 100
2010
2015
Unicondylar reconstructions (%)
-
19
-
-
-
-
-
-
100
-
-
-
-
16
Mean follow- up in months (range)
64
(15 – 138)
N/R (min. 2 yrs)
131
(25 – 268)
72
(24 – 96)
66 (range N/R, min. 2 yrs)
65
(7 – 148)
82
(1 – 368)
36
(12 – 74)
127
(6 – 250)
192
(120 – 252)
123
(10 – 250)
156
(15 – 283)
124
(6 – 226)
150
(7 – 280)
Fixation method (%)
PLT 100
N/R
N/R
PLT 100
PLT 80 IMN 20
PLT 97 IMN+PLT 3
PLT 80 IMN 20
PLT 100
PLT 70 SCR 30
N/R
PLT 86 IMN 14
IMN 96 IMN+PLT 4
PLT 96 IMN 4
PLT 74 IMN 21 SCR 3 IMN+PLT 3
Mean graft length, cm (range)
N/R
N/R (8 – 37)
N/R
N/R
N/R
12
(7 – 20)
N/R
N/R
N/R
N/R
N/R
19
(13.5 – 28)
15.5
(8.5 – 25)
14.5
(8 – 26)
Complications (%) Infection Fracture Nonunion
15 25 5 5 65
6 14 12 7 -
- 25 - 8 58
23 42 12 17 -
11 2 -
-
3 37 20 7 56
8 5 - - -
17 13 50 - 79
5 3 - 11 -
10 45 20 - 70
22 5 -
-
23 19 19 8 62
- 52 12 20 68
13 26 18
Joint instability
Overall complication rate (%)
-
-
79
Failure rate
30 -
24 -
33 -
32 -
46 -
22
23
29 -
15
60
34
58 -
60
53 -
Mean MSTS score (range)
75
(57 – 90)
87
(50 – 100)
91
(67 – 100)
77
(40 – 93)
87
(range N/R)
85
(65 – 97)
108
24
38
20
25
38
DF 63 PT 37
DF 42 PT 25 PH 31 DT 4 DH 4 PU 4
DF 73 PT 28
DF 40 PT 30 PH 20 DR 5 PU 5
DF 52 PT 48
DF 26 PT 37 PH 32 DR 5
MSTS, Muscoskeletal Tumor Society; N/R, not reported; DF, distal femur; PT, proximal tibia; DT, distal tibia; PH, proximal humerus; DH, distal humerus; DR, distal radius; PU, proximal ulna; PLT, plate(s); IMN, intramedullary nail; SCR, screw(s). Table only includes studies that reported on ≥ 20 osteoarticular allograft reconstructions.