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KMID : 0613320080140020140
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Journal of the Korean Bone and Joint Tumor Soceity
2008 Volume.14 No. 2 p.140 ~ p.145
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Partial Resection of Osteosarcoma in Proximal Tibia
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Song Won-Seok
Lee Sung-Jun
Won Ho-Hyun
Jeon Dae-Geun
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Abstract
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After limb salvage operation becomes popular, reconstruction method of epi-metaphyseal osteosarcoma is relatively standardized though it may be operator’s matter of preference. Most limb salvage techniques presently used are prosthesis reconstruction and osteoarticular allograft.
In the case of prosthesis, it is very stable and shows good postoperative functional score, however, finally, it has a weak point of requirement for removal procedure due to failure. In the long run, allograft reconstruction has a good merit. But, it has a weak point of difficulties in securing the demanded size and shape. Allograft reconstruction should be performed only in the case of safe margin and established indication.
In limb salvage operation, intercalary reconstruction is useful method in diaphyseal osteosarcoma, however, in metaphyseal osteosarcoma, the indication is not confirmed.
We treated 17 year old osteosarcoma patient with localized in the tibial medial condyle with proximal medial condylectomy and pasteurized bone reconstruction in the conviction of safe surgical margin. We report this case because we guess if this procedure may be applied to premature patients, despite failure hemiarthroplasty can be tried successfully.
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KEYWORD
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Osteosarcoma, Resection margin, Pasteurization
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