Resection Arthrodesis for Primary Bone Tumour About the Knee

Kwan, M.K. and Ng, E.S. and Penafort, R. and Saw, A. and Sengupta, S. (2005) Resection Arthrodesis for Primary Bone Tumour About the Knee. Medical Journal of Malaysia, 60. pp. 66-71. ISSN 0300-5283,

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Bone defect following en bloc resection of primary bone tumor around the knee can be reconstructed by allograft or prothesis or combination of both. Resection-arthrodesis is an alternative option for young vigorous patients facing circumstances of financial constrain or limited supply of allograft. This study was undertaken to determine the outcome and complications associated with resection-arthrodesis of 22 primary bone tumors (13 giant cell tumors and 9 osteosarcomas) around the knee treated between 1990 and 2003 at the University Malaya Medical Center. The mean follow-up was 6 years (range 1 — 13 years). Three patients with osteosarcoma died of lung metastasis, 3 required above knee amputation and 2 defaulted follow-up. Local complications of the procedure include infection in 8 cases (36.4%), non-union 7 (31.8%) and mal-union. Of 14 patients who returned for final evaluation, 79.8% had satisfactory outcomes according to the Musculoskeletal Tumor Society grading system. In conclusion, resection-arthrodesis of the knee is a viable treatment option for selected patients with primary bone tumor around the knee, and good functional outcome can be expected in the presence of short-term local complications.

Item Type: Article
Additional Information: University Malaya Medical Centre. Dept. of Orthopaedic Surgery.
Uncontrolled Keywords: Resection-arthrodesis; Primary Bone Tumor; Knee
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Medicine
Depositing User: Mr. Faizal Hamzah
Date Deposited: 09 Aug 2011 00:30
Last Modified: 09 Aug 2011 00:40

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