Tumors of the Proximal Tibia



     - Osteochondroma
     - Osteosarcoma
     - Giant Cell Tumor of Bone
     - Ewing's sarcoma: (diaphyseal region);
     - Chondroblastoma
     - Chondromyxoid fibroma
     - Fibrous Dysplasia
     - Eosinophilic granuloma
     - Aneurysmal bone cyst
     - Simple bone cyst
     - Giant cell sarcoma
     - Fibrous Histiocytoma
     - Fibrosarcoma of bone;
     - Adamantinoma
     - Osteoma: middle 1/3 (rare)

- Pearls:
    - reconstruction of the proximal tibia following tumor resection is associated w/ a high rate of complications;
    - a major unsolved problem involves reattachment of the extensor mechanism;
          - patellar tendon reattachment to a prosthesis is generally unsuccessful;
          - w/ allografting of the proximal tibia, consider transfer of the extensor mechanism into the medial gastrocnemius, w/ postop immobilization in extension



The Treatment of Lower Extremity Sarcomas With Wide Excision, Radiotherapy, and Free-Flap Reconstruction.

Disarticulation of the knee in children. A functional assessment.

Prosthetic arthroplasty of the knee after resection of a sarcoma in the proximal end of the tibia. A report of sixteen cases.

Function after amputation, arthrodesis, or arthroplasty for tumors about the knee.

Reconstruction of musculoskeletal defects about the knee for tumor.

Limb-sparing surgery for high-grade malignant tumors of the proximal tibia. Surgical technique and a method of extensor mechanism reconstruction.

Modified Van Nes rotationplasty in the treatment of malignant neoplasms in the lower extremities of children.

Caveat arthroscopos: extra-articular lesions of bone simulating intra-articular pathology of the knee.

Osteoarticular Allografts for Reconstruction after Resection of a Musculoskeletal Tumor in the Proximal End of the Tibia.

Algorithm for the surgical treatment of malignant lesions of the proximal tibia.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Saturday, June 23, 2012 2:06 pm