27-159

Tumores óseos metafiso-diafisarios. Reconstrucción con aloinjertos intercalares

METAPHYSEAL AND DIAPHYSEAL BONE TUMORS. INTERCALAR ALLOGRAFT RECONSTRUCTION

J.A. CARA y A. LACLERIGA Departamento de Cirugía Ortopédica y Traumatología. Clínica Universitaria de Navarra.
Recepción:
04/02/2009
Aceptación:
04/02/2009
Publicación:
09/02/2009


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Resumen (ES)

From June 1987 to June 1991, 20 patients with malignant bone tumors at the diaphysis or metaphysis of long bone have been treated by radical reseccion and intercalary allograft replacement. The functional results were excellent and good in 13 patients. The radiologic evaluation of the metaphysis was excellent in all cases as regards allograft incorporation. In the diaphysis results were worse; we evaluated following the ISOLS protocol (fusion, resortion, fracture, graft shortening and fixation). The main complications were deep infection (10%) and delayed union or non-union (30%).

Palabras clave (ES):

Aloinjerto
Óseo
Tumor
Osteosarcoma
Sarcoma
Ewing
Injerto
Maligno

Resumen (EN)

From June 1987 to June 1991, 20 patients with malignant bone tumors at the diaphysis or metaphysis of long bone have been treated by radical reseccion and intercalary allograft replacement. The functional results were excellent and good in 13 patients. The radiologic evaluation of the metaphysis was excellent in all cases as regards allograft incorporation. In the diaphysis results were worse; we evaluated following the ISOLS protocol (fusion, resortion, fracture, graft shortening and fixation). The main complications were deep infection (10%) and delayed union or non-union (30%).

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