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Intercalary reconstructions after bone tumor resections: a review of treatments.

Abstract

An intercalary reconstruction is defined as replacement of the diaphyseal portion of a long bone after segmental skeletal resection (diaphysectomy). Intercalary reconstructions typically result in superior function compared to other limb-sparing procedures as the patient's native joints above and below the reconstruction are left undisturbed. The most popular reconstructive options after segmental resection of a bone sarcoma include allografts, vascularized fibula graft, combined allograft and vascularized fibula, segmental endoprostheses, extracorporeal devitalized autograft, and segmental transport using the principles of distraction osteogenesis. This article aims to review the indications, techniques, limitations, pros and cons, and complications of the aforementioned methods of intercalary bone tumor resections and reconstructions in the context of the ever-growing, brave new field of limb-salvage surgery.

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  • Authors+Show Affiliations

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    First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 41 Ventouri Street, Holargos, 15562, Athens, Greece.

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    First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 41 Ventouri Street, Holargos, 15562, Athens, Greece. afm@otenet.gr.

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    Department of Orthopaedics, Denver Health Medical Center, Denver, CO, USA.

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    Department of Orthopaedics, First Medical Faculty, Prague Teaching Hospital, Charles University, Bulovka, Prague, Czechia.

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    Department of Orthopaedics and Musculoskeletal Oncology, University of Padova, Padova, Italy.

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    First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 41 Ventouri Street, Holargos, 15562, Athens, Greece.

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    First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 41 Ventouri Street, Holargos, 15562, Athens, Greece.

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    Department of Orthopaedics, Agioi Anargyroi Hospital, Athens, Greece.

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    First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 41 Ventouri Street, Holargos, 15562, Athens, Greece.

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    Department of Orthopaedics and Musculoskeletal Oncology, University of Padova, Padova, Italy.

    First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 41 Ventouri Street, Holargos, 15562, Athens, Greece.

    Source

    MeSH

    Allografts
    Autografts
    Bone Neoplasms
    Bone Transplantation
    Diaphyses
    Fibula
    Humans
    Limb Salvage
    Osteogenesis, Distraction
    Prostheses and Implants
    Reconstructive Surgical Procedures

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    28585185

    Citation

    Panagopoulos, Georgios N., et al. "Intercalary Reconstructions After Bone Tumor Resections: a Review of Treatments." European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie, vol. 27, no. 6, 2017, pp. 737-746.
    Panagopoulos GN, Mavrogenis AF, Mauffrey C, et al. Intercalary reconstructions after bone tumor resections: a review of treatments. Eur J Orthop Surg Traumatol. 2017;27(6):737-746.
    Panagopoulos, G. N., Mavrogenis, A. F., Mauffrey, C., Lesenský, J., Angelini, A., Megaloikonomos, P. D., ... Papagelopoulos, P. J. (2017). Intercalary reconstructions after bone tumor resections: a review of treatments. European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie, 27(6), pp. 737-746. doi:10.1007/s00590-017-1985-x.
    Panagopoulos GN, et al. Intercalary Reconstructions After Bone Tumor Resections: a Review of Treatments. Eur J Orthop Surg Traumatol. 2017;27(6):737-746. PubMed PMID: 28585185.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Intercalary reconstructions after bone tumor resections: a review of treatments. AU - Panagopoulos,Georgios N, AU - Mavrogenis,Andreas F, AU - Mauffrey,Cyril, AU - Lesenský,Jan, AU - Angelini,Andrea, AU - Megaloikonomos,Panayiotis D, AU - Igoumenou,Vasilios G, AU - Papanastassiou,John, AU - Savvidou,Olga, AU - Ruggieri,Pietro, AU - Papagelopoulos,Panayiotis J, Y1 - 2017/06/05/ PY - 2017/05/21/received PY - 2017/05/30/accepted PY - 2017/6/7/pubmed PY - 2018/4/28/medline PY - 2017/6/7/entrez KW - Allograft KW - Bone tumors KW - Endoprosthesis KW - Intercalary defects KW - Vascularized fibular graft SP - 737 EP - 746 JF - European journal of orthopaedic surgery & traumatology : orthopedie traumatologie JO - Eur J Orthop Surg Traumatol VL - 27 IS - 6 N2 - An intercalary reconstruction is defined as replacement of the diaphyseal portion of a long bone after segmental skeletal resection (diaphysectomy). Intercalary reconstructions typically result in superior function compared to other limb-sparing procedures as the patient's native joints above and below the reconstruction are left undisturbed. The most popular reconstructive options after segmental resection of a bone sarcoma include allografts, vascularized fibula graft, combined allograft and vascularized fibula, segmental endoprostheses, extracorporeal devitalized autograft, and segmental transport using the principles of distraction osteogenesis. This article aims to review the indications, techniques, limitations, pros and cons, and complications of the aforementioned methods of intercalary bone tumor resections and reconstructions in the context of the ever-growing, brave new field of limb-salvage surgery. SN - 1633-8065 UR - https://www.unboundmedicine.com/medline/citation/28585185/Intercalary_reconstructions_after_bone_tumor_resections:_a_review_of_treatments L2 - https://dx.doi.org/10.1007/s00590-017-1985-x DB - PRIME DP - Unbound Medicine ER -