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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 6, 815-819.
doi: 10.1302/0301-620X.91B6.21577  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Below-knee amputation through a joint-sparing proximal tibial replacement for recurrent tumour

B. G. I. Spiegelberg, BSc, MRCS, Research Fellow1; M. D. Sewell, BSc, MRCS, Specialist Registrar1; T. Coltman, FRCS(Orth), Specialist Registrar1; G. W. Blunn, PhD, Professor of Biomedical Engineering1; A. M. Flanagan, PhD, FRCPath, Professor of Musculoskeletal Pathology1; S. R. Cannon, FRCS, MCh(Orth), Consultant Orthopaedic Surgeon1; and T. W. R. Briggs, FRCS, MCh(Orth), Consultant Orthopaedic Surgeon1

1 The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP, Middlesex, UK.

Correspondence should be sent to Dr B. G. I. Spiegelberg; e-mail: benspiegelberg{at}doctors.net.uk

We report a case which highlights the progression of osteofibrous dysplasia to adamantinoma and questions whether intralesional curettage is the appropriate treatment. The role of a joint-sparing massive endoprosthesis using cortical fixation is demonstrated and we describe a unique biomedical design which resulted in the manufacture of an end cap to allow amputation through a custom-made proximal tibial replacement, rather than an above-knee amputation following recurrence.




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B. G. I. Spiegelberg, M. D. Sewell, W. J. S. Aston, G. W. Blunn, R. Pollock, S. R. Cannon, and T. W. R. Briggs
The early results of joint-sparing proximal tibial replacement for primary bone tumours, using extracortical plate fixation
J Bone Joint Surg Br, October 1, 2009; 91-B(10): 1373 - 1377.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General