Source:http://linkedlifedata.com/resource/pubmed/id/10755437
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
2000-4-14
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| pubmed:abstractText |
Limb salvage is now customary in the treatment of primary bone tumours. The proximal tibia is a frequent site for these neoplasms but reconstruction, especially in children, is a formidable challenge. We reviewed 20 children with extendible replacements of the proximal tibia, all with a minimum follow-up of five years. Five died from their disease and, of the remaining 15, four had above-knee amputations for complications. Infection occurred in seven patients; in five it was related to the lengthening procedure. Aseptic loosening is inevitable in the younger children and only two have avoided a revision, amputation or other major complication; both were aged 12 years at the time of the initial surgery. Despite this, 11 children are alive with a functioning leg and a mean Musculoskeletal Tumour Society functional score of 83%. The lengthening mechanisms used in our series required extensive open operations. We are now using a simpler, minimally invasive, technique which we hope will decrease the incidence of complications. At present, the use of extendible prostheses of the proximal tibia remains an experimental procedure.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Mar
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| pubmed:issn |
0301-620X
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
82
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
255-60
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| pubmed:dateRevised |
2011-11-17
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| pubmed:meshHeading |
pubmed-meshheading:10755437-Adolescent,
pubmed-meshheading:10755437-Amputation,
pubmed-meshheading:10755437-Arthroplasty, Replacement, Knee,
pubmed-meshheading:10755437-Bone Neoplasms,
pubmed-meshheading:10755437-Child,
pubmed-meshheading:10755437-Child, Preschool,
pubmed-meshheading:10755437-Chondroblastoma,
pubmed-meshheading:10755437-Female,
pubmed-meshheading:10755437-Follow-Up Studies,
pubmed-meshheading:10755437-Histiocytoma, Benign Fibrous,
pubmed-meshheading:10755437-Humans,
pubmed-meshheading:10755437-Male,
pubmed-meshheading:10755437-Osteosarcoma,
pubmed-meshheading:10755437-Prosthesis Design,
pubmed-meshheading:10755437-Reoperation,
pubmed-meshheading:10755437-Sarcoma, Ewing,
pubmed-meshheading:10755437-Survival Rate,
pubmed-meshheading:10755437-Tibia
|
| pubmed:year |
2000
|
| pubmed:articleTitle |
Extendible replacements of the proximal tibia for bone tumours.
|
| pubmed:affiliation |
Royal Orthopaedic Hospital Oncology Service, Birmingham, England.
|
| pubmed:publicationType |
Journal Article
|