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The Archives of Bone and Joint Surgery، جلد ۵، شماره ۵، صفحات ۲۹۶-۳۰۱
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عنوان انگلیسی Long-term Results of Osteoarticular Allograft Reconstruction in Children with Distal Femoral Bone Tumors
چکیده انگلیسی مقاله Background: There is no consensus regarding the best method of reconstruction in pediatric population following thewide resection of malignant bone tumors. More exploration of the complications of osteoarticular reconstruction leads toless existing controversy of this type of reconstruction, which is the main point of this article.Methods: Long-term outcomes and complications of osteoarticular allograft reconstruction of primary distal femoral bonesarcomas in 22 children with mean age of 10.7 years old were reviewed in this study. Musculoskeletal Tumor Society(MSTS) scoring system was used for functional evaluation of the allografts.Results: With an average follow-up time of 81 months, the outcomes of 16 patients with allografts at the final follow upwere evaluated. As expected, Limb length discrepancy (LLD) was observed in all patients (mean LLD= 2.73cm), whichwas significantly correlated to allograft survival time (P< 0.001). Degenerative joint disease (DJD) was also seen in allpatients and its grade was also significantly correlated to allograft survival time (P< 0.001). The mean MSTS-score was74% at the latest follow-up, ranging from 60% to 90%. Five and 10 year survival rate of allografts were found to be 93.3%and 62.2%, respectively.Conclusion: Osteoarticular allograft reconstruction could result in several complications including DJD. Despite itsconsiderable biologic advantage over endoprosthesis, osteoarticular allograft reconstruction is a long-lasting but still atemporary solution before performing megaprosthesis. This allows patients to preserve their remaining physis for limbgrowth and become old enough for an adult megaprosthesis.
کلیدواژه‌های انگلیسی مقاله Distal Femoral Tumor, Osteoarticular Allograft, pediatric
نویسندگان مقاله خدامراد جمشیدی | khodamorad jamshidi
bone and joint reconstruction research center, shafa orthopedic hospital, iran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

مهرداد بحرآبادی | mehrdad bahrabadi
bone and joint reconstruction research center, shafa orthopedic hospital, iran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

علیرضا میرزایی | alireza mirzaei
bone and joint reconstruction research center, shafa orthopedic hospital, iran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

نشانی اینترنتی http://abjs.mums.ac.ir/article_7939.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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