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Titolo:
Knee reconstruction with prosthesis and muscle flap after total arthrectomy
Autore:
Anract, P; Missenard, G; Jeanrot, C; Dubois, V; Tomeno, B;
Indirizzi:
Univ Paris 05, Cochin Teaching Hosp, Dept Orthopaed Surg, F-75679 Paris 14, France Univ Paris 05 Paris France 14 t Orthopaed Surg, F-75679 Paris 14, France Inst Gustave Roussy, Villejuif, France Inst Gustave Roussy Villejuif France Gustave Roussy, Villejuif, France
Titolo Testata:
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
fascicolo: 384, , anno: 2001,
pagine: 208 - 216
SICI:
0009-921X(200103):384<208:KRWPAM>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
BONE-GRAFTS; ARTHRODESIS; RESECTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Anract, P Univ Paris 05, Cochin Teaching Hosp, Dept Orthopaed Surg, F-75679 Paris 14, France Univ Paris 05 Paris France 14 d Surg, F-75679 Paris 14, France
Citazione:
P. Anract et al., "Knee reconstruction with prosthesis and muscle flap after total arthrectomy", CLIN ORTHOP, (384), 2001, pp. 208-216

Abstract

A massive prosthesis and medial gastrocnemius muscle transfer were used toreconstruct the knee after extracapsular en blot excision for bone sarcoma, Magnetic resonance images showed intraarticular involvement, This technique was used in nine patients, six men and three women aged 18 to 51 years, with primary malignant bone tumors of the knee. Extraarticular resection ofthe knee, including the patella, was done in every case. A knee prosthesiswas implanted, and the extensor mechanism was reconstructed by transfer ofthe medial gastrocnemius muscle and pes anserinus tendons. All resections had negative margins. There were no local recurrences, but metastases occurred in two patients. Infection was the only major complication and was seenin two patients. The mean postoperative Musculoskeletal Tumor Society score was 61% (range, 36%-100%), The mean postoperative range of flexion was 62degrees (range, 30 degrees -90 degrees), and the mean extensor lag was 12 degrees (range, 0 degrees -40 degrees), Three patients required a crutch towalk, The functional outcome was poor in the two patients whose proximal tibia was removed with the joint, suggesting that arthrodesis may be best inthis situation. In properly selected patients, prosthesis and muscle flap reconstruction provides acceptable function and a good cosmetic result.

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Documento generato il 02/12/20 alle ore 17:46:35