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Reconstruction after wide resection of the entire distal fibula in malignant bone tumours

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Abstract

In this study we present a series of patients (n = 11) with resection of the entire distal fibula in the case of sarcoma or metastasis. Moreover, we describe a new method to restore ankle stability with a tibiotalocalcaneal arthrodesis using a retrograde hindfoot nail (n = 4) in contrast to tibiotalar arthrodesis with screws (n = 5). The screw fixation failed in two patients due to osteopoenic bone. The crucial benefits of an arthrodesis with a retrograde nail are a stable arthrodesis, intramedullary stabilisation of the tibia and avoidance of extrinsic material in the wound area. An arthrodesis with a retrograde nail is a good alternative for reconstruction after a wide distal fibula resection. The additional arthrodesis of the subtalar joint was not associated with worse functional results in the MSTS and TESS scores.

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Authors and Affiliations

  1. Department of Orthopaedics and Tumour Orthopaedics, University Hospital Muenster, Muenster, Germany

    Ralf Dieckmann, Helmut Ahrens, Arne Streitbürger, Tymoteusz Borys Budny, Marcel-Philipp Henrichs & Jendrik Hardes

  2. Department of Clinical Radiology, University Hospital Muenster, Muenster, Germany

    Volker Vieth

  3. Department of Tumour and Revision Surgery, Orthopaedic Hospital Volmarstein, Wetter, Germany

    Carsten Gebert

Authors
  1. Ralf Dieckmann
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  2. Helmut Ahrens
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  3. Arne Streitbürger
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  4. Tymoteusz Borys Budny
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  5. Marcel-Philipp Henrichs
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  8. Jendrik Hardes
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Correspondence to Ralf Dieckmann.

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Dieckmann, R., Ahrens, H., Streitbürger, A. et al. Reconstruction after wide resection of the entire distal fibula in malignant bone tumours. International Orthopaedics (SICOT) 35, 87–92 (2011). https://doi.org/10.1007/s00264-009-0931-x

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  • DOI: https://doi.org/10.1007/s00264-009-0931-x

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