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2024, Number 2

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Ortho-tips 2024; 20 (2)

Femoral bone reconstruction after tumor resection, a case report and literature review

Amador CA, Sánchez AR, Tecuatl GR, Gutiérrez MI, Barriga MMA, Reyes PR, Silva MJA

Language: Spanish
References: 27
Page: 95-102
PDF size: 291. Kb.


ABSTRACT

Chondrosarcoma are malignant tumors constituted by cartilaginous tissues, the second most common type after osteosarcoma among musculoskeletal tumors, as a general rule they are not sensitive to chemotherapy nor radiotherapy, therefore the treatment involves wide surgical resection with limb salvage, resulting in a bone defect that needs to be reconstructed. reconstruction options available range from endoprostheses, adjuvants after curettage or biological reconstruction using autograft or allograft. Here is a clinical case report of a male patient with massive femoral bone loss, following the resection of a central chondrosarcoma; the bone reconstruction was performed using segmental bone allograft and autograft in combination with platelet rich plasma (PRP), bone marrow aspirate (BMA) and Gelfoam, the reconstruction was stabilized with osteosynthesis material, specifically a locked compression plate (LCP). Strict follow-up was conducted until graft consolidation and integration, which occurred 12 months after the latest surgery. This technique is based on adherence to the principles of the recently introduced "diamond concept", which provides guidelines for the best possible intervention thus increasing the success rate of reconstruction and consolidation. With these strategies, a definitive treatment for bone loss is offered, which is technically accessible for orthopaedic surgeons, reproductible and cost-effective for the patient.


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