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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 8, 1162-1166.
doi: 10.1302/0301-620X.84B8.13330  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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Osteosarcoma around the knee

INTRAEPIPHYSEAL EXCISION AND BIOLOGICAL RECONSTRUCTION WITH DISTRACTION OSTEOGENESIS

H. Tsuchiya, MD, PhD, Associate Professor; M. E. Abdel-Wanis, MD, Clinical Fellow; K. Sakurakichi, MD, Clinical Fellow; T. Yamashiro, MD, Clinical Fellow; and K. Tomita, MD, PhD, Professor and Chairman

Department of Orthopaedic Surgery, School of Medicine, Kanazawa University, 13-1 Takara-machi, Kanazawa 920-8641, Japan.

Correspondence should be sent to Dr H. Tsuchiya.

In 11 patients juxta-articular osteosarcoma around the knee was treated by intraepiphyseal excision of the tumour and reconstruction of the bone defect by distraction osteogenesis. Preoperative and postoperative chemotherapy was given to eight patients with high-grade tumours. The articular cartilage of the epiphysis and a maximum of healthy soft tissues were preserved. Distraction osteogenesis was then carried out.

The mean gain in length was 9.7 cm. Full function of the limb was preserved in all except one patient, with a mean follow-up of 53.8 months. Treatment of juxta-articular osteosarcomas around the knee with joint preservation and biological reconstruction using distraction osteogenesis can give excellent functional results.




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Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General