Document Detail

Resection and reconstruction of the distal end of the femur or proximal end of the tibia after radical excision of diaphyseal and epiphyseal segments.
MedLine Citation:
PMID:  6373666     Owner:  NLM     Status:  MEDLINE    
The authors describe a technique of bone reconstruction after radical resection of bone segments from the distal end of the femur or proximal end of the tibia. This involves the insertion of an intramedullary nail of predetermined length which is fixed to the bone by screws applied at the proximal and distal ends of the nail. An aiming device is used which permits the screws to be applied by a closed procedure. The reconstruction is effected by using the diaphysis of the contralateral fibula, which is divided longitudinally into two halves. These are then applied laterally and medially to the endomedullary nail at the site of the resected area. Grafts of cortico-spongy bone taken from the iliac crests are inserted between the two fibular hemidiaphyses. The authors give a detailed description of the operation and report the clinical results obtained in eleven cases and the complications observed.
G Monticelli; F S Santori; S Ghera; A Folliero
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Italian journal of orthopaedics and traumatology     Volume:  9     ISSN:  0390-5489     ISO Abbreviation:  Ital J Orthop Traumatol     Publication Date:  1983 Dec 
Date Detail:
Created Date:  1984-07-25     Completed Date:  1984-07-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7511480     Medline TA:  Ital J Orthop Traumatol     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  427-37     Citation Subset:  IM    
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MeSH Terms
Bone Neoplasms / surgery
Bone Transplantation*
Femoral Neoplasms / surgery*
Femur / pathology,  radiography,  surgery*
Fracture Fixation, Intramedullary* / methods
Giant Cell Tumors / surgery
Osteosarcoma / surgery
Sarcoma, Ewing's / surgery
Tibia / pathology,  radiography,  surgery*

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