Total calcaneal allograft reconstruction of an Ewing's sarcoma in a child: Outcome and review of the literature

Torner, Ferrán; Núñez, Jorge H.; Clemente, Emilio J. Inarejos; Garraus, Moira; Suñol, Mariona; Martínez, Anibal Dolores; Moreno, David

doi:10.1002/cnr2.1626

Cited by 3 publications

(2 citation statements)

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“…Various insights exist for selecting repair materials and reconstructive techniques, as outlined in previous studies (Table 2). 5,12,14,18,28,29 Li et al used the distally pedicled osteocutaneous folded fibular flap to reconstruct the defect following total calcanectomy. All fibular flaps successfully survived, and the mean MSTS score and AOFAS scores were 83.2% and 86.4%, respectively after a mean follow-up period of 50.4 months.…”

Section: Discussionmentioning

confidence: 99%

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3D-Printed Modular Endoprosthesis Reconstruction Following Total Calcanectomy in Calcaneal Malignancy

Gong,

Lu,

Wang

et al. 2023

Foot Ankle Int.

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Background: The use of 3D-printed endoprosthesis has been proposed as a viable limb-salvage procedure following total calcanectomy in patients with calcaneal malignancy. However, certain drawbacks persist concerning the prosthetic design. In this case series, we designed a modular endoprosthesis incorporating a novel drainage system, aiming to improve the functional outcomes and to promote wound healing. Methods: We retrospectively analyzed patients with calcaneal malignancy who underwent 3D-printed modular endoprosthesis reconstruction. Clinically, we evaluated functional outcomes using the 10-cm visual analog scale (VAS) score, the 1993 version of the Musculoskeletal Tumor Society (MSTS-93) score, and the American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score. Complications were also recorded. Results: Five male patients met the final inclusion criteria. The median age was 20 years (range 13-47 years). The median follow-up time was 28 months (range, 13-65 months). Median postoperative functional MSTS-93, VAS, and AOFAS scores were 27 points (range, 25-29), 0 points (range, 0-1), and 86 points (range, 83-93), respectively. Wound healing was observed in all patients, and there were no complications related to the endoprosthesis at the last follow-up. Conclusion: The use of 3D-printed modular endoprosthesis was associated with satisfactory short-term outcomes in patients undergoing calcaneal reconstruction. The incorporation of a novel design featuring an integrated draining system has the potential to enhance wound healing and expedite functional recovery. Level of Evidence: Level IV, case series.

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Section: Discussionmentioning

confidence: 99%

“…Current reconstruction techniques include allograft, 12,29 custom-made prosthesis, 26 vascularized iliac flap, 28 and distally pedicled osteocutaneous fibular flap. 24 Although allografts and autografts from the iliac crest or fibula offer advantages and yield satisfactory results, they also come with inherent disadvantages.…”

Section: Introductionmentioning

confidence: 99%

3D-Printed Modular Endoprosthesis Reconstruction Following Total Calcanectomy in Calcaneal Malignancy

Gong,

Lu,

Wang

et al. 2023

Foot Ankle Int.

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Total calcaneal allograft reconstruction of an Ewing's sarcoma in a child: Outcome and review of the literature

et al. 2022

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Background Ewing's sarcoma rarely presents in bones of the feet. Surgical management usually includes amputation. Limb sparing surgery is anecdotal. Case We report the case of a 13‐year‐old boy with an Ewing sarcoma in his calcaneus who had a calcaneal reconstruction with total calcaneus allograft after induction chemotherapy. Conclusions At 42 months of follow‐up our patient remains disease free and functionally intact. A review of the exceptional limb salvage procedure options for malignant calcaneus tumor was performed.

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Modified Calcanization of Tibia for Hindfoot Defect Reconstruction: Method and Preliminary Results

Zhang,

Wang,

Liu

et al. 2024

Orthopaedic Surgery

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ObjectivesTo introduce our modified technique for calcanization of the tibia in managing massive bony loss of hindfoot and preliminary outcomes.MethodsFrom January 2015 to December 2021, modified calcanization of the tibia were performed in 10 patients with unilateral loss of the calcaneus. Clinical outcomes were assessed based on the American Orthopaedic Foot & Ankle Society score and Symptom Checklist‐90‐Revised questionnaire. Paired two‐group t‐test was applied to compare the parameters.ResultsThe mean lengthened length of the tibia was 77.3 ± 3.0 mm (range, 74–83 mm). The mean external fixation time was 123.7 ± 52.1 days (range, 117–134 days) and the mean external fixation index was 1.601 ± 0.046 days/mm. All patients stuck to the postoperative follow‐up plan with an average follow‐up time of 29.7 ± 3.4 months (range, 24–35 months). Deformities of the injured limbs were well corrected. Based on American Orthopaedic Foot & Ankle Society score, eight good and two fair results were achieved. The mental status of all patients was within the normal range, and several indices of the Symptom Checklist‐90‐Revised questionnaire of each patient were improved after the whole procedure.ConclusionWe demonstrate that the modified calcanization of the tibia is qualified for total loss of calcaneus with limited complications. Early rehabilitation is attainable since external fixation time is shortened due to a simplified procedure.

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Total calcaneal allograft reconstruction of an Ewing's sarcoma in a child: Outcome and review of the literature

Cited by 3 publications

References 20 publications

3D-Printed Modular Endoprosthesis Reconstruction Following Total Calcanectomy in Calcaneal Malignancy

3D-Printed Modular Endoprosthesis Reconstruction Following Total Calcanectomy in Calcaneal Malignancy

Total calcaneal allograft reconstruction of an Ewing's sarcoma in a child: Outcome and review of the literature

Modified Calcanization of Tibia for Hindfoot Defect Reconstruction: Method and Preliminary Results

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