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KMID : 0613319950010020226
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Journal of the Korean Bone and Joint Tumor Soceity
1995 Volume.1 No. 2 p.226 ~ p.232
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Limb-Salvage Surgery using Ilizarov Technique
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Cho Duck-Yun
Koh Eun-Sung
Lee Ji-Sup
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Abstract
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Survival rate of osteosarcoma has been improved recently due to the neoadjuvant and adjuvant chemotherapy. Limb salvaging operation(LSO) has replaced the amputation technique without lowering the survival rate. And there occurred a lot of patients who are suffering from the high cost of artificial implants and forced to choose amputation due to economic problem. In LSO, usually relatively high cost artificial implant is needed. When a patient and not afford such an expensive implant he had to choose an inexpensive way, amputation. Authors tried bone lengthening by adopting Ilizarov technique after wide resection of tumor in two patients. Bone transportation was successful in one patient and less successful in the other. One case in CDF(continuously disease free since the surgical procedure) state at follow-up 3 year 4 months after knee joint fusion. And the other was given lobectomy for lung metastasis at postop. I year and 9 months, and given osteosynthesis for infected nonunion at the docking site. Bone transportation was thought to be a good method for the bony coverage of dead space caused by wide resection. Bone transportation technique was economical as well as biological. We present two osteosarcoma patient who treated with Ilizarov bone transportation.
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KEYWORD
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Limb-salvage surgery, Ilizarov technique, Osteosarcoma
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