Titanium mesh cage as an alternative reconstruction method for epiphyseal-sparing tumour resections in children


AYVAZ M., Bekmez S., Yucekul A., MERMERKAYA M. U., TOKGÖZOĞLU A. M.

Journal of Pediatric Orthopaedics Part B, vol.27, no.4, pp.350-355, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 27 Issue: 4
  • Publication Date: 2018
  • Doi Number: 10.1097/bpb.0000000000000482
  • Journal Name: Journal of Pediatric Orthopaedics Part B
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.350-355
  • Keywords: epiphyseal preservation, limb-salvage surgery, paediatric bone tumour, titanium mesh cage, LONG SEGMENTAL DEFECT, MALIGNANT BONE-TUMORS, QUALITY-OF-LIFE, ALLOGRAFT RECONSTRUCTION, METAPHYSEAL OSTEOSARCOMA, LIMB SALVAGE, PRESERVATION, KNEE, MANAGEMENT, SARCOMA
  • Lokman Hekim University Affiliated: No

Abstract

© Copyright 2018 Wolters Kluwer Health, Inc. All rights reserved.In this study, we introduced an alternative reconstruction option for epiphysis-sparing tumour resection in children. Eight patients with a malignant tumour in the diaphysis or metaphysis-diaphysis junction of a long bone underwent epiphysis-sparing intercalary resection. Reconstruction was performed using a titanium mesh cage filled with impacted cancellous bone allograft and autograft. A plate and screws were used to supplement the fixation. At the last follow-up, union was achieved in seven patients. Limb-length discrepancy occurred in three patients. Functional scores revealed a good functional outcome. This technique may be an alternative method for epiphyseal-sparing tumour resections in children.