Tumors around the ankle: a reconstructive challenge

Authors

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20240429

Keywords:

Distal tibia, Osteosarcoma, Rhabdomyosarcoma, Calcanectomy, Endoprosthesis

Abstract

Tumors around the ankle can be either bone or soft tissue sarcomas. The aggressive nature of these tumors and the complex anatomy of the ankle mortice make for a challenging reconstructive ladder. We have explored four different histological tumors which required tailor made resection and reconstruction. All our patients had reasonably good functional outcomes.

Metrics

Metrics Loading ...

References

Ottaviani G, Jaffe N. The epidemiology of osteosarcoma. Cancer Treat Res. 2009;152:3-13.

Simon MA, Aschiliman MA, Thomas N, Mankin HJ. Limb-salvage treatment versus amputation for osteosarcoma of the distal end of the femur. J Bone Joint Surg [Am]. 1986;68-A:1331-7.

Bishop AT, Wood MB, Sheetz KK. Arthrodesis of the ankle with a free vascularised autogenous bone graft: reconstruction of segmental loss of bone secondary to osteomyelitis, tumor or trauma. J Bone Joint Surg [Am]. 1995;7-A:1867-75.

Abudu A, Grimer RJ, Tillman RM, Carter SR. Endoprosthetic replacement of the distal tibia and ankle joint for aggressive bone tumours. Int Orthop. 1999;23:291-4.

Shekkeris AS, Hanna SA, Sewell MD. Endoprosthetic reconstruction of the distal tibia and ankle joint after resection of primary bone tumours. J Bone Joint Surg Br. 2009;91:1378-82.

Lee SH, Kim HS, Park YB, Rhie TY, Lee HK. Prosthetic reconstruction for tumours of the distal tibia and fibula. J Bone Joint Surg [Br]. 1999;81-B:803-7.

Natarajan MV, Annamalai K, Williams S, Selvaraj R, Rajagopal TS. Limb salvage in distal tibial osteosarcoma using a custom mega prosthesis. Int Orthop. 2000;24:282-4.

Mavrogenis Andreas F, Novella AC, Carlo R, Pietro R. Similar survival but better function for patients after limb salvage versus amputation for distal tibia osteosarcoma. Clin Orthop Relat Res. 2012;470:1735-48.

Downloads

Published

2024-02-26

How to Cite

Shanmugam, S., & Vijayalakshmi, G. (2024). Tumors around the ankle: a reconstructive challenge . International Journal of Research in Orthopaedics, 10(2), 424–427. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20240429