Shark bite bone resection in treatment of surface sarcomas
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20254080Keywords:
Shark bite, Hemicortical, Resection, Sarcoma, Surface, ParostealAbstract
Background: Surface bone sarcomas including parosteal sarcoma as the most common type are considered well differentiated sarcomas with rare intramedullary involvement. They are characterized by low incidence of local recurrence and distant metastasis. As they involve a portion of cortical bone, hemi-cortical resection (shark bite resection) seems to be an appealing option with low morbidity and better function. We aim to evaluate oncological outcome and functional results for a cohort of patients with surfaces sarcomas treated by shark bite resection.
Methods: A prospective study of 25 patients presented with surface malignant bone sarcomas between 2016 and 2022 in our institution. We performed hemicortical resection and biological reconstruction. Follow up period was 2-8 years. Functional outcome was assessed using MSTS scoring system.
Results: The mean MSTS at the end of follow up was 29 (range 27-30). Mean resected bone surface was 9 cm (range 7-14). Mean time for bone union was 8 months (range 6-15 months).
Conclusion: Shark bite resection is a valuable option for treatment of low-grade surface sarcomas. It provides better outcome, native joint preservation and low complication rate.
Metrics
References
Hang JF, Chen PCH. Parosteal osteosarcoma. Archives Path Lab Med. 2014;138(5):694-9. DOI: https://doi.org/10.5858/arpa.2013-0030-RS
Nouri H, Ben Maitigue M, Abid L, Nouri N, Abdelkader A, Bouaziz M, et al. surface osteosarcoma: clinical features and therapeutic implications. J Bone Oncol. 2015;4:115-23. DOI: https://doi.org/10.1016/j.jbo.2015.07.002
World Health Organization. WHO classification of tumors soft tissue and bone tumors. 5th edition. International Agency for research on cancer, Lyon, France. 2020;410-7.
Agarwal M, Puri A, Anchan C, Shah M, Jambhekar N. Hemicortical excision for low-grade selected surface sarcomas of bone. Clin Orthop Relat Res. 2007;459:161-6. DOI: https://doi.org/10.1097/BLO.0b013e318059b8eb
Enniking WF, Springfield D, Gross M. the surgical treatment of parosteal osteosarcoma in long bones. J Bone Joint Surg. 1985;67(1):125-35. DOI: https://doi.org/10.2106/00004623-198567010-00016
Bus MP, Bramer JA, Schaap GR, Schreuder HW, Jutte PC, van der Geest IC, et al. Hemicortical resection and inlay allograft reconstruction for primary bone tumors: a retrospective evaluation in the Netherlands and review of the literature. J Bone Joint Surg Am. 2015;97(9):738-50. DOI: https://doi.org/10.2106/JBJS.N.00948
Wilke BK, Cooper AR, Gibbs CP, Scarborough MT, Spiguel AR. Long term functional outcomes of distal femur replacements compared to geographic resections for parosteal osteosarcomas of the distal femur. The Iowa Orthop J. 2018;38(352):177-81.
Campanacci M, Picci P, Gherlinzoni F, Guerra A, Bertoni F, Neff JR. Parosteal Osteosarcoma. J Bone Joint Surg (Br). 1984;66(3):313-21. DOI: https://doi.org/10.1302/0301-620X.66B3.6586725
Prabowo Y, Kamal AF, Kodrat E, Prasetyo M, Maruanaya S, Efar TS. Parosteal Osteosarcoma: a benign looking tumor amenable to a variety of surgical reconstruction. Int J Surg Oncol. 2020;6:121-33. DOI: https://doi.org/10.1155/2020/4807612
Funovics PT, Bucher F, Toma CD, Kotz RI, Dominkus M. Treatment and outcome of parosteal osteosarcoma: biological versus endoprosthetic reconstruction. J Surg Oncol. 2011;103(8):782-9. DOI: https://doi.org/10.1002/jso.21859
Deijkers RL, Bloem RM, Hogendoorn PC, Verlaan JJ, Kroon HM, Taminiau AH. Hemicortical allograft reconstruction after resection of low-grade malignant bone tumours. J Bone Joint Surg Br. 2002;84(7):1009-14. DOI: https://doi.org/10.1302/0301-620X.84B7.0841009
Liu T, Liu ZY, Zhang Q, Zhang XS. Hemicortical resection and reconstruction using pasteurised autograft for parosteal osteosarcoma of the distal femur. Bone Joint J. 2013;95(9):1275-9. DOI: https://doi.org/10.1302/0301-620X.95B9.31433
Downloads
Published
How to Cite
Issue
Section
