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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.