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KMID : 0613320080140020157
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Journal of the Korean Bone and Joint Tumor Soceity
2008 Volume.14 No. 2 p.157 ~ p.162
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Knee Joint Sparing Tumor Resection in 4years-Old Patient with Osteosarcoma
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Cho Wan-Hyeong
Cho Sang-Hyun
Won Ho-Hyun
Jeon Dae-Geun
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Abstract
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Nowadays, most of the malignant bone tumor patient underwent limb salvage operation, however, reconstructive options for skeletally immature group are still controversial. There are three necessary conditions of most ideal reconstructive method in treating the skeletally immature children.
As the epiphyseal plate sacrification is usually inevitable in malignant bone tumor around knee joint, ideal reconstructive technique would be as follows; 1)minimal or no damage to theadjacent epiphyseal plate, 2) maintaining mobile joint, 3) index procedure does not disturb subsequent operation such as lengthening.
Segmental resection and reconstruction using autogenous pasteurized graft was done for 4 years old meta-diaphyseal osteosarcoma of femur.
At 6 months from index operation, plain radiograph showed pasteurized bone resorption and loosening of fixation devise.
To overcome the complication, we used allograft reconstruction by impacting the proximal host bone to the fluted portion of allobone. Three months later, proximal bone union was observed and patient showed good functional outcome.
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KEYWORD
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Osteosarcoma, children, Pasteurized autobone graft
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