Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 3 Issue 2

Femoral Diaphysis Reconstructed with Intercalary Endoprothesis in A Case of Parosteal Osteosarcoma

IPS Oberoi*, Abhishek, Satvir Singh, DS Solanki and Mohinder S Chib

Orthopedics, Artemis Hospital India

*Corresponding Author: IPS Oberoi, Orthopedics, Artemis Hospital India.

Received: January 09, 2020; Published: January 29, 2020

×

  Parosteal osteosarcoma (POS) is a rare, slow-growing malignant tumour that predominantly occurs on the surface of the metaphysis of long bones. POS accounts for ~1-2% of primary malignant bone tumours.

   Wide resection of POS is recommended to prevent local recurrence and the rate of distant metastasis; however, the optimal technique for long bone diaphyseal reconstruction following tumour resection is undecided.

   The present case report describes the treatment of a 27-year old patient diagnosed with POS localized in the diaphysis of the right femur. A intercalary endoprosthesis was used to achieve anatomical and functional reconstruction for a 10 cm bone defect following en bloc tumour resection.

   These intercalary implants helps in early recovery of the patients that is not possible in biological method of treatment. However, long-term follow studies are required to know the longevity of these implants and complication related to them.

Keywords: Intercalary; Endoprosthesis; Osteosarcoma; Limb Salvage

×

References

  1. Murphey MD., et al. “The many faces of osteosarcoma”. Radiographics 17 (1997): 1205-1231.
  2. Azura M., et al. “Parosteal osteosarcoma dedifferentiating into telan- giectatic osteosarcoma: Importance of lytic changes and fluid cavities at imaging”. Skeletal Radiology 38 (2009): 685-690. 
  3. Jelinek JS., et al. “Parosteal osteosarcoma: Value of MR imaging and CT in the prediction of histologic grade”. Radiology 201 (1996) :837-842. 
  4. Park YK., et al. “Parosteal osteosarcoma of the scapula”. Journal of Korean Medical Science 14 (1999): 586-588. 
  5. Subasi M., et al. “Unusual benign bone lesion simulating parosteal osteosarcoma”. Journal of Orthopaedic Science 11 (2006): 529-532. 
  6. Partovi S., et al. “Low-grade parosteal osteosaracoma of the ulna with dedifferentiation into high-grade osteosarcoma”. Skeletal Radiology 25 (1996) :497-500. 
  7. Dönmez FY., et al. “MRI findings in parosteal osteosarcoma: Correlation with histopathology”. Diagnostic and Interventional Radiology 14 (2008) :142-152.
  8. Chang DW., et al. “Use of a vascularized fibula bone flap and intercalary allograft for diaphyseal reconstruction after resection of primary extremity bone sarcomas”. Plastic and Reconstructive Surgery 116 (2005):1918-1925.
  9. Ogilvie CM., et al. “Long-term results for limb salvage with osteo- articular allograft reconstruction”. Clinical Orthopaedics and Related Research 467 (2009): 2685-2690. 
  10. Krieg AH., et al. “Intercalary femoral reconstruction with extracorporeal irradiated autogenous bone graft in limb-salvage surgery”. The Journal of Bone and Joint Surgery British 89 (2007): 366-371. 
  11. Tsuchiya H., et al. “Reconstruction using an autograft containing tumour treated by liquid nitrogen”. The Journal of Bone and Joint Surgery British 87 (2005): 218-225. 
  12. Ahlmann ER., et al. “Intercalary endoprosthetic reconstruction for diaphyseal bone tumours”. The Journal of Bone and Joint Surgery British 88 (2006): 1487-1491. 
  13. Damron TA., et al. “Intercalary spacers in the treatment of segmentally destructive diaphyseal humeral lesions in disseminated malignancies”. Clinical Orthopaedics and Related Research 324 (1996): 233-243.
  14. Hanna SA., et al. “Femoral diaphyseal endoprosthetic reconstruction after segmental resection of primary bone tumours”. The Journal of Bone and Joint Surgery British 92 (2010): 867-874.
  15. Zhao SC., et al. “Custom‐made intercalary endoprosthetic reconstruction for a parosteal osteosarcoma of the femoral diaphysis: a case report”. Oncology Letters 10 (2015): 3279-3285. 
  16. Ruggieri P., et al. “Outcome of the intramedullary diaphyseal segmental defect fixation system for bone tumors”. Journal of Surgical Oncology 104 (2011): 83-90.
  17. Abudu A., et al. “The outcome and functional results of diaphyseal endoprostheses after tumour excision”. The Journal of Bone and Joint Surgery British 78 (1996): 652-657.
  18. Gosheger G., et al. “Endoprosthetic reconstruction in 250 patients with sarcoma”. Clinical Orthopaedics and Related Research 450 (2006): 164-171. 
  19. Sewell MD., et al. “Total femoral endoprosthetic replacement following excision of bone tumours”. The Journal of bone and joint surgery British 91 (2009): 1513-1520. 
  20. Muscolo DL., et al. “Intercalary femur and tibia segmental allografts provide an acceptable alternative in reconstructing tumor resections”. Clinical Orthopaedics and Related Research 426 (2004): 97-102. 
×

Citation

Citation: IPS Oberoi., et al. “Femoral Diaphysis Reconstructed with Intercalary Endoprothesis in A Case of Parosteal Osteosarcoma ".Acta Scientific Orthopaedics 3.2 (2020): 56-59.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is October 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US