Archival Issues
Volume 19, 2017
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Journal Abstract
New technique of surgical treatment of malignant calcaneal tumours. Preliminary report.
Wojciech Woźniak, Anna Raciborska, Tomasz Walenta, Andrzej Szafrański, Agnieszka Szymborska, Monika Bajor
Ortop Traumatol Rehabil 2007; 9(3):273-276
ICID: 496885
Article type: Original article
IC™ Value: 7.12
Abstract provided by Publisher
Background. Malignant tumours of the calcaneus are very rare among children, constituting up to 3% of all bone tumours. This paper presents the outcome of a new technique of surgical treatment of malignant calcaneal tumours in the paediatric population involving the use of a large frozen allogeneic graft of the head of femur with a fragment of the femoral neck.
Material and methods. Three patients were treated for primary malignant tumours of bone at our Department. The surgery was preceded by induction chemotherapy. A skin incision was made on the medial aspect of the foot. After the dissection of the calcaneus together with the tumour (Ennecking's wide resection), the defect was reconstructed with a frozen allogeneic bone graft. The graft was modelled and attached to the tarsal bone using metal clasps (arthrodesis). The Achilles tendon was also attached to the graft with metal clasps. A Redon suture was left in the floor of the wound. Single-layer sutures were placed in subcutaneous tissue and skin. The limb was immobilized in thigh plaster with the foot in 900 dorsiflexion.
Results. The wound healed by first intention. Early post-operative complications were not observed, except for transient oedema of the surrounding tissues. The flexion and dorsiflexion movements were partially preserved. Local radical excision of the tumour was achieved in all the children. The graft healed into place. The patients are able to move without aid.
Conclusions. The use of a large allogeneic bone graft of the head of femur after excision of the calcaneus can assure very good long-term functional outcomes.

ICID 496885
PMID 17721425 - click here to show this article in PubMed

Related articles
  • in IndexCopernicus™
         dzieci [380 related records]
         stopa [4 related records]
         guzy złośliwe [2 related records]
         children [1109 related records]
         surgical resection [4 related records]
         Foot [109 related records]
         malignant tumours [2 related records]

  • Related articlesin PubMed database
  • in PubMed database [ related records]


    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.