Endoprosthetic reconstruction of the distal tibia and ankle joint after resection of primary bone tumours

A S Shekkeris, S A Hanna, M D Sewell, B G I Spiegelberg, W J S Aston, G W Blunn, S R Cannon, T W R Briggs

Research output: Contribution to journalArticlepeer-review

Abstract

Endoprosthetic replacement of the distal tibia and ankle joint for a primary bone tumour is a rarely attempted and technically challenging procedure. We report the outcome of six patients treated between 1981 and 2007. There were four males and two females, with a mean age of 43.5 years (15 to 75), and a mean follow-up of 9.6 years (1 to 27). No patient developed a local recurrence or metastasis. Two of the six went on to have a below-knee amputation for persistent infection after a mean 16 months (1 to 31). The four patients who retained their endoprosthesis had a mean musculoskeletal tumour society score of 70% and a mean Toronto extremity salvage score of 71%. All were pain free and able to perform most activities of daily living in comfort. A custom-made endoprosthetic replacement of the distal tibia and ankle joint is a viable treatment option for carefully selected patients with a primary bone tumour. Patients should, however, be informed of the risk of infection and the potential need for amputation if this cannot be controlled.

Original languageEnglish
Pages (from-to)1378-82
Number of pages5
JournalJournal of Bone and Joint Surgery - British Volume
Volume91
Issue number10
DOIs
Publication statusPublished - Oct 2009

Keywords

  • Adolescent
  • Adult
  • Aged
  • Amputation
  • Ankle Joint
  • Arthroplasty, Replacement
  • Bone Neoplasms
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteosarcoma
  • Prosthesis Design
  • Radiography
  • Range of Motion, Articular
  • Retrospective Studies
  • Tibia
  • Treatment Outcome
  • Young Adult

Fingerprint

Dive into the research topics of 'Endoprosthetic reconstruction of the distal tibia and ankle joint after resection of primary bone tumours'. Together they form a unique fingerprint.

Cite this