• Der Unfallchirurg · Feb 2002

    [Mantel transplant for defect reconstruction after resection of malignant bone tumors of the lower extremity].

    • J Hennen, D Sabo, A K Martini, and L Bernd.
    • Stiftung Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstr. 200a, 69118 Heidelberg.
    • Unfallchirurg. 2002 Feb 1; 105 (2): 120127120-7.

    AbstractWe treated 11 patients with primary sarcoma and 1 patient with enchondroma of the femur or tibia. Bridging the osseus defect we used an intercalary allograft shell and contralateral fibula as described by Capanna et al. [7]. The median bone defect after resection of the tumor was 15.7 (9.0-28.5) cm, average follow up was 29.2 (13-56) month. Anastomosis of the autologous fibula was successful in 8 cases. There were 3 cases necessitating later amputation. The other cases showed good clinical (Enneking-score) and radiological (ISOLS-score) results. These results indicate the described technique as a suitable method for defect reconstruction with good functional outcome.

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