par Charles, Tatiana ;Schuind, Frederic ;Gkotsi, A.;Gebhart, Michaël ;Jayankura, Marc
Référence Indian Journal of Surgical Oncology, 15, page (119-126)
Publication Publié, 2024-03-01
Référence Indian Journal of Surgical Oncology, 15, page (119-126)
Publication Publié, 2024-03-01
Article révisé par les pairs
Résumé : | The free vascularised fibular graft represents the mainstay of intercalary bone defect reconstruction after tumour resection. Different reconstruction techniques are described, favouring internal fixation and possibly overlooking potential advantages of external fixation. This series is a description of the technique performed at our institution using an external fixator for the reconstruction of segmental bone defects which enables to maintain limb length and rotational alignment after large segmental bone resection. Data collected were demographic, surgical and histological data, perioperative complications and postoperative data. Eighteen different complications were encountered in seven patients. Mean reoperation rate was 1.3 per patient but no patient required further interventions in order to correct limb length or rotational alignment. Pin-track infection rate was 6%. The limb salvage rate was 100%. Solid final bone healing was obtained in all patients. External fixation for the reconstruction of intercalary bone defects after tumour resection is a safe technique which might offer the advantage of limb length and alignment preservation. |