Open tibial shaft fractures: II. Definitive management and limb salvage.

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Abstract

[Indexed for MEDLINE] 20. Orthop Clin North Am. 2016 Jan;47(1):265-81. doi: 10.1016/j.ocl.2015.08.027. Reconstruction After Tumor Resection in the Growing Child. Groundland JS(1), Binitie O(2). Author information: (1)Department of Orthopedics and Sports Medicine, University of South Florida, 13220 USF Laurel Drive, Tampa, FL 33612, USA. (2)Department of Orthopedics and Sports Medicine, University of South Florida, 13220 USF Laurel Drive, Tampa, FL 33612, USA; Department of Sarcoma, H. Lee Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL 33612, USA. Electronic address: Odion.Binitie@moffitt.org. Limb preservation surgery has gained acceptance as a viable alternative to amputation for the treatment of extremity bone tumors in the growing child. There are several options for reconstructing the potential loss of a physis and the defect created by tumor excision. Metallic endoprosthesis, massive allograft, and allograft-prosthesis composites have been described in the skeletally immature population. With the development of expandable prostheses, even those far from skeletal maturity may be candidates for limb salvage. However, improvements in the literature are needed, including reporting surgical and functional outcomes in a rigorous manner, specific to age, anatomic location, and reconstruction. Copyright © 2016 Elsevier Inc. All rights reserved. DOI: 10.1016/j.ocl.2015.08.027