PURPOSE OF THE STUDY: Bone tumours are frequent conditions in children, and their surgical resection may lead to extensive defects which reconstruction is often challenging. Indeed, local conditions do not promote bone healing, and the achieved surgical result requires to be life-lasting. Capanna suggested a reconstruction technique combining massive allograft and free vascularized fibular flap. The first one is intended to withstand mechanical stress, and the second one offers biological and vascular support to improve bone healing and prevent infections. MATERIAL AND METHODS: We report our experience with this technique when applied to the lower limb in a prospective study including seven children, with a mean follow-up of 44 months. RESULTS: Bone healing was achieved by one single procedure in 85.7% of the cases, usually 7 months after surgery. Six out of seven patients achieved a final and long-lasting outcome, five of them following a simple surgical history. Partial weight-bearing was post-operatively allowed at about 2 months, full weight-bearing was initiated at about 5.5 months. DISCUSSION: A low complication rate was reported despite the extent of the disease and the type of the surgical procedure. Capanna's combined reconstructive technique appears very efficient in the management of massive bone defects following tumour resection in children's lower limb. LEVEL OF EVIDENCE: Level IV. Retrospective therapeutic study. Copyright 2010 Elsevier Masson SAS. All rights reserved.
PURPOSE OF THE STUDY: Bone tumours are frequent conditions in children, and their surgical resection may lead to extensive defects which reconstruction is often challenging. Indeed, local conditions do not promote bone healing, and the achieved surgical result requires to be life-lasting. Capanna suggested a reconstruction technique combining massive allograft and free vascularized fibular flap. The first one is intended to withstand mechanical stress, and the second one offers biological and vascular support to improve bone healing and prevent infections. MATERIAL AND METHODS: We report our experience with this technique when applied to the lower limb in a prospective study including seven children, with a mean follow-up of 44 months. RESULTS: Bone healing was achieved by one single procedure in 85.7% of the cases, usually 7 months after surgery. Six out of seven patients achieved a final and long-lasting outcome, five of them following a simple surgical history. Partial weight-bearing was post-operatively allowed at about 2 months, full weight-bearing was initiated at about 5.5 months. DISCUSSION: A low complication rate was reported despite the extent of the disease and the type of the surgical procedure. Capanna's combined reconstructive technique appears very efficient in the management of massive bone defects following tumour resection in children's lower limb. LEVEL OF EVIDENCE: Level IV. Retrospective therapeutic study. Copyright 2010 Elsevier Masson SAS. All rights reserved.
Authors: Georgios N Panagopoulos; Andreas F Mavrogenis; Cyril Mauffrey; Jan Lesenský; Andrea Angelini; Panayiotis D Megaloikonomos; Vasilios G Igoumenou; John Papanastassiou; Olga Savvidou; Pietro Ruggieri; Panayiotis J Papagelopoulos Journal: Eur J Orthop Surg Traumatol Date: 2017-06-05
Authors: Luis A Aponte-Tinao; Jose I Albergo; Miguel A Ayerza; D Luis Muscolo; Federico Milano Ing; German L Farfalli Journal: Clin Orthop Relat Res Date: 2018-03 Impact factor: 4.176
Authors: Lizz van der Heijden; Germán L Farfalli; Inês Balacó; Cristina Alves; Marta Salom; José M Lamo-Espinosa; Mikel San-Julián; Michiel A J van de Sande Journal: J Child Orthop Date: 2021-08-20 Impact factor: 1.548