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, cilt.27, sa.4, ss.350-355, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 27 Sayı: 4
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1097/bpb.0000000000000482
  • Dergi Adı: JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.350-355
  • Anahtar Kelimeler: 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
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

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.