Endoprosthetic replacement with preservation of the epiphysis for proximal tibial reconstruction after osteosarcoma resection in children: a case report.

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Title: Endoprosthetic replacement with preservation of the epiphysis for proximal tibial reconstruction after osteosarcoma resection in children: a case report.
Authors: Gui, Sijie1 (AUTHOR), Xu, Wangtong1 (AUTHOR), Ouyang, Zhengxiao1 (AUTHOR), Guo, Xiaoning1 (AUTHOR), Shen, Yi1 (AUTHOR), Tao, Huai2 (AUTHOR), Chen, Xia1 (AUTHOR) chenxiacxv99@csu.edu.cn, Peng, Dan1 (AUTHOR) xyeypd@163.com
Source: BMC Musculoskeletal Disorders. 7/20/2024, Vol. 25 Issue 1, p1-7. 7p.
Subject Terms: *EPIPHYSIS, *KNEE joint, *OSTEOSARCOMA, *LIMB salvage, *SURFACE plates, *PERIPROSTHETIC fractures, *LEG length inequality
Abstract: Background: Limb salvage surgery is an important method for treating malignant tumors of the bone involving the adjacent parts of the major joints in children. This technique allows for preservation of limb function, especially in the lower limb. However, the reconstruction of the proximal end of the tibia after removing the tumor mass with a rational scale to preserve the total knee joint and reduce limb length discrepancy presents a challenge. Case presentation: We present a case of osteosarcoma of the proximal tibia. After being treated with an extended tumor resection, the proximal tibia of the child was restructured using endoprosthetic replacement with epiphyseal preservation. This procedure preserves the entire articular surface and growth plate of the knee joint of the affected limb and provides a feasible alternative protocol for retaining the function and growth potential of the affected limb. The patient remained disease-free and normal limb motor function was observed during the 3.5 year follow-up since the initial surgery. Conclusions: Preservation of the epiphysis enabled our patient to perform better limb function after limb-saving surgery as a result of his undamaged knee joint and minimized limb-length discrepancy. We believe that endoprosthetic replacement with preservation of the epiphysis can provide the best strategy for reconstruction after resection of focal malignant tumors in long bones without epiphytic involvement. [ABSTRACT FROM AUTHOR]
Copyright of BMC Musculoskeletal Disorders is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Endoprosthetic replacement with preservation of the epiphysis for proximal tibial reconstruction after osteosarcoma resection in children: a case report.
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  Data: <searchLink fieldCode="AR" term="%22Gui%2C+Sijie%22">Gui, Sijie</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Xu%2C+Wangtong%22">Xu, Wangtong</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ouyang%2C+Zhengxiao%22">Ouyang, Zhengxiao</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Guo%2C+Xiaoning%22">Guo, Xiaoning</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shen%2C+Yi%22">Shen, Yi</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tao%2C+Huai%22">Tao, Huai</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen%2C+Xia%22">Chen, Xia</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> chenxiacxv99@csu.edu.cn</i><br /><searchLink fieldCode="AR" term="%22Peng%2C+Dan%22">Peng, Dan</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> xyeypd@163.com</i>
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  Data: <searchLink fieldCode="JN" term="%22BMC+Musculoskeletal+Disorders%22">BMC Musculoskeletal Disorders</searchLink>. 7/20/2024, Vol. 25 Issue 1, p1-7. 7p.
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  Data: *<searchLink fieldCode="DE" term="%22EPIPHYSIS%22">EPIPHYSIS</searchLink><br />*<searchLink fieldCode="DE" term="%22KNEE+joint%22">KNEE joint</searchLink><br />*<searchLink fieldCode="DE" term="%22OSTEOSARCOMA%22">OSTEOSARCOMA</searchLink><br />*<searchLink fieldCode="DE" term="%22LIMB+salvage%22">LIMB salvage</searchLink><br />*<searchLink fieldCode="DE" term="%22SURFACE+plates%22">SURFACE plates</searchLink><br />*<searchLink fieldCode="DE" term="%22PERIPROSTHETIC+fractures%22">PERIPROSTHETIC fractures</searchLink><br />*<searchLink fieldCode="DE" term="%22LEG+length+inequality%22">LEG length inequality</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Limb salvage surgery is an important method for treating malignant tumors of the bone involving the adjacent parts of the major joints in children. This technique allows for preservation of limb function, especially in the lower limb. However, the reconstruction of the proximal end of the tibia after removing the tumor mass with a rational scale to preserve the total knee joint and reduce limb length discrepancy presents a challenge. Case presentation: We present a case of osteosarcoma of the proximal tibia. After being treated with an extended tumor resection, the proximal tibia of the child was restructured using endoprosthetic replacement with epiphyseal preservation. This procedure preserves the entire articular surface and growth plate of the knee joint of the affected limb and provides a feasible alternative protocol for retaining the function and growth potential of the affected limb. The patient remained disease-free and normal limb motor function was observed during the 3.5 year follow-up since the initial surgery. Conclusions: Preservation of the epiphysis enabled our patient to perform better limb function after limb-saving surgery as a result of his undamaged knee joint and minimized limb-length discrepancy. We believe that endoprosthetic replacement with preservation of the epiphysis can provide the best strategy for reconstruction after resection of focal malignant tumors in long bones without epiphytic involvement. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of BMC Musculoskeletal Disorders is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1186/s12891-024-07651-3
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      – Code: eng
        Text: English
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      – SubjectFull: KNEE joint
        Type: general
      – SubjectFull: OSTEOSARCOMA
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      – SubjectFull: LIMB salvage
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      – SubjectFull: SURFACE plates
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      – SubjectFull: PERIPROSTHETIC fractures
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      – SubjectFull: LEG length inequality
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      – TitleFull: Endoprosthetic replacement with preservation of the epiphysis for proximal tibial reconstruction after osteosarcoma resection in children: a case report.
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              Text: 7/20/2024
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