Extensor reconstruction of the knee using the fibular transposition technique after proximal tibial resection

Kawashima, Hiroyuki; Ogose, Akira; Hotta, Tomomitsu; Ariizumi, Takashi; Yamagishi, Tetsuro; Endo, Naoto

doi:10.1016/j.knee.2016.11.005

Cited by 6 publications

(5 citation statements)

References 22 publications

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“…All of the translators reached a consensus that no modification was necessary from the viewpoint of crosscultural adaptation, because each item description in the original version fit well with the modern Japanese lifestyle and appeared appropriate. Since its release, the Japanese version of the MSTS has been used commonly in clinical settings for Japanese studies [10,14,15].…”

Section: Methodsmentioning

confidence: 99%

Reliability and Validity of the Musculoskeletal Tumor Society Scoring System for the Upper Extremity in Japanese Patients

Uehara

Akiyama

Shinoda

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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Section: Methodsmentioning

confidence: 99%

Reliability and Validity of the Musculoskeletal Tumor Society Scoring System for the Upper Extremity in Japanese Patients

Uehara

Akiyama

Shinoda

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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“…The percentage of primary malignancies varied between 19% and 100%, secondary malignancies varied between 0% and 44%, and benign tumors varied between 0% and 81% (Table III). In this current study, 1,402 patients received a metallic endoprosthesis 4,11,14,24,25,28,[31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] , 183 patients received an osteoarticular allograft 8,11,23,26,27,47 , and 58 patients received an allograft-prosthesis composite 9,14,23,29…”

Section: Study Populationmentioning

confidence: 99%

“…We then identified the studies that provided specific data (outcome and demographic) for individual patients who would become our pooled data analysis group. In total, 9 studies provided pooled data 8,9,[23][24][25][26][27][28][29] , and the remaining studies did not include outcomes or demographic data for individual patients and therefore could not contribute to the pooled data group.…”

Section: Data Extractionmentioning

confidence: 99%

“…The most common extensor mechanism augment in this review was the use of a gastrocnemius rotational flap, which was used in 15 of 22 studies that included patients with metallic endoprostheses. Ten of these 15 studies 11,14,33,[35][36][37][39][40][41]44 , 1 study utilizing a transposed fibula 25 , and 1 study utilizing a transposed fibula and a gastrocnemius flap 24 described positive extension lags or patella alta in some patients at the time of the final follow-up. Overall, the extension lag was referenced in 17 studies 9,11,14,[24][25][26][27][28][29]33,[35][36][37][39][40][41]44 .…”

Section: Functional Outcomesmentioning

confidence: 99%

“…Ten of these 15 studies 11,14,33,[35][36][37][39][40][41]44 , 1 study utilizing a transposed fibula 25 , and 1 study utilizing a transposed fibula and a gastrocnemius flap 24 described positive extension lags or patella alta in some patients at the time of the final follow-up. Overall, the extension lag was referenced in 17 studies 9,11,14,[24][25][26][27][28][29]33,[35][36][37][39][40][41]44 .…”

Section: Functional Outcomesmentioning

confidence: 99%

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Proximal Tibial Reconstruction After Tumor Resection

et al. 2019

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Background: The proximal part of the tibia is a common location for primary bone tumors, and many options for reconstruction exist following resection. This anatomic location has a notoriously high complication rate, and each available reconstruction method is associated with unique risks and benefits. The most commonly utilized implants are metallic endoprostheses, osteoarticular allografts, and allograft-prosthesis composites. There is a current lack of data comparing the outcomes of these reconstructive techniques in the literature.Methods: A systematic review of peer-reviewed observational studies evaluating outcomes after proximal tibial reconstruction was conducted, including both aggregate and pooled data sets and utilizing a Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) review for quality assessment. Henderson complications, amputation rates, implant survival, and functional outcomes were evaluated.Results: A total of 1,643 patients were identified from 29 studies, including 1,402 patients who underwent reconstruction with metallic endoprostheses, 183 patients who underwent reconstruction with osteoarticular allografts, and 58 patients who underwent with reconstruction with allograft-prosthesis composites. The mean follow-up times were 83.5 months (range, 37.3 to 176 months) for the metallic endoprosthesis group, 109.4 months (range, 49 to 234 months) for the osteoarticular allograft group, and 88.8 months (range, 49 to 128 months) for the allograftprosthesis composite reconstruction group. The mean patient age per study ranged from 13.5 to 50 years. Patients with metallic endoprostheses had the lowest rates of Henderson Type-1 complications (5.1%; p , 0.001), Type-3 complications (10.3%; p , 0.001), and Type-5 complications (5.8%; p , 0.001), whereas, on aggregate data analysis, patients with an osteoarticular allograft had the lowest rates of Type-2 complications (2.1%; p , 0.001) and patients with an allograft-prosthesis composite had the lowest rates of Type-4 complications (10.2%; p , 0.001). The Musculoskeletal Tumor Society (MSTS) scores were highest in patients with an osteoarticular allograft (26.8 points; p , 0.001). Pooled data analysis showed that patients with a metallic endoprosthesis had the lowest rates of sustaining any Henderson complication (23.1%; p 5 0.009) and the highest implant survival rates (92.3%), and patients with an osteoarticular allograft had the lowest implant survival rates at 10 years (60.5%; p 5 0.014).Conclusions: Osteoarticular allograft appears to lead to higher rates of Henderson complications and amputation rates when compared with metallic endoprostheses. However, functional outcomes may be higher in Disclosure: There was no source of external funding for this study. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/ JBJSREV/A470).

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Reconstruction of knee extensor with patellar tendon autograft following intraoperative radiotherapy

et al. 2020

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Extensor reconstruction of the knee using the fibular transposition technique after proximal tibial resection

Cited by 6 publications

References 22 publications

Reliability and Validity of the Musculoskeletal Tumor Society Scoring System for the Upper Extremity in Japanese Patients

Reliability and Validity of the Musculoskeletal Tumor Society Scoring System for the Upper Extremity in Japanese Patients

Proximal Tibial Reconstruction After Tumor Resection

Reconstruction of knee extensor with patellar tendon autograft following intraoperative radiotherapy

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