Augmenting Osteosynthesis in Rotationplasty for Proximal Tibial Tumors: A Report of 2 Cases.

Q4 Medicine JBJS case connector Pub Date : 2025-03-07 eCollection Date: 2025-01-01 DOI:10.2106/JBJS.CC.24.00527
Davinder Mand, Robert C Weinschenk, Russell A Ward
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Abstract

Case: Two pediatric patients were treated with rotationplasty for proximal tibia sarcomas. Both patients had an uneventful postoperative course with minimum radiographic and clinical follow-up of 5.7 years. We describe a novel technique to augment osteosynthesis when performing rotationplasty specifically for proximal tibial pathology.

Conclusion: Imbrication of the fibula within a femoral periosteal sleeve facilitates an additional site of bone healing and mechanical support in rotationplasty for proximal tibial tumors.

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胫骨近端肿瘤旋转成形术中增强骨融合2例报告。
病例:2例小儿胫骨近端肉瘤行旋转成形术治疗。两例患者术后顺利,影像学和临床随访时间均为5.7年。我们描述了一种新的技术,以增加骨合成时进行旋转成形术,特别是胫骨近端病理。结论:在胫骨近端肿瘤旋转成形术中,股骨膜套筒内的腓骨砌块有助于提供额外的骨愈合和机械支持。
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来源期刊
JBJS case connector
JBJS case connector Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
319
期刊介绍: JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.
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