Clinical Study
Autoclaved Tumor Bone for Skeletal Reconstruction in Paediatric Patients: A Low Cost Alternative in Developing Countries
Table 1
Baseline characteristics of patients.
| Sr./sex/age
(years) | Side/site | Diagnosis | Resection length | Length of autograft | Method of fixation | Length of surgery (min) | Length of hospital stay | MSTS | Time to FWB (months) | Time to bone union (months) | Complication | Second procedure |
| | 1/F/8 | R/femur | Osteosarcoma | 28.1 | 32.2 | LCP | 150 | 7 | 26 | 6 | 8 | — | — | | 2/F/15 | R/humerus | Ewing’s sarcoma | 20.1 | 21.0 | LCP | 120 | 5 | 19 | — | — | Nonunion | Graft and LCP | | 3/M/6 | L/tibia | Ewing’s sarcoma | 12.3 | 18.2 | LCP | 260 | 10 | 20 | 7 | 10 | — | — | | 4/F/13 | R/femur | Osteosarcoma | 16.7 | 25.0 | LCP | 245 | 7 | 20 | 8 | 10 | — | — | | 5/M/12 | R/femur | Osteogenic sarcoma | 17.2 | 24.6 | LCP | 240 | 8 | 28 | 6 | 9 | Local recurrence | Hip disarticulation | | 6/M/10 | R/distal Radius | Osteosarcoma | 7.9 | 9.6 | K-wire | 177 | 5 | 27 | — | 8 | — | — | | 7/M/15 | R/femur | Ewing’s sarcoma | 9.6 | 14.3 | LCP | 260 | 7 | 21 | 3 | 5 | — | — | | 8/M/15 | L/tibia | Ewing’s sarcoma | 17.1 | 18.0 | LCP | 310 | 6 | 19 | 4 | 11 | — | — | | 9/F/7 | L/tibia | Chondrosarcoma | 15.2 | 19.1 | LCP | 300 | 7 | 20 | 5 | 6 | — | — | | 10/F/13 | R/femur | Osteogenic sarcoma | 16.3 | 23.3 | LCP | 447 | 10 | 22 | 13 | 36 | Surgical site infection | Wound Debridement and gastroecnemius flap | | 11/M/6 | L/humerus | Ewing’s sarcoma | 8.8 | 14.1 | Screws and X-fix | 270 | 6 | 26 | — | 8 | Distant metastasis | — | | 12/F/14 | L/tibia | Osteogenic sarcoma | 8.2 | 16.7 | LCP | 240 | 7 | 22 | 4 | 11 | — | — | | 13/M/11 | L/humerus | Osteosarcoma | 6.4 | 7.1 | LCP | 230 | 6 | 23 | — | 5 | — | — | | 14/M/11 | R/tibia | Osteogenic sarcoma | 15.3 | 23.1 | X-fix | 190 | 5 | 20 | 6 | 11 | Surgical site infection | Gastroecnemius flap | | 15/F/7 | R/femur | Osteosarcoma | 21.3 | 25.8 | LCP | 345 | 7 | 20 | 4 | 8 | — | — | | 16/F/8 | L/tibia |
Osteogenic sarcoma | 18.1 | 21.5 | LCP | 390 | 5 | 26 | 5 | 9 | — | — | | 17/F/12 | L/tibia | Osteogenic sarcoma | 15.4 | 22.5 | LCP | 395 | 8 | 21 | 3 | 5 | — | — | | 18/M/9 | R/femur | Osteogenic sarcoma | 16.7 | 26.5 | LCP | 135 | 6 | 26 | 8 | 13 | — | — | | 19/F/12 | R/femur | Ewing’s sarcoma | 16.2 | 19.6 | LCP | 210 | 7 | 21 | 7 | — | Nonunion | Graft and LCP | | 20/M/10 | R/femur | Osteogenic sarcoma | 13.0 | 17.6 | LCP | 260 | 8 | 22 | 5 | 6 | — | — | | 21/F/11 | R/humerus | Ewing’s sarcoma | 13.2 | 14.9 | LCP | 185 | 7 | 22 | — | 6 | — | — | | 22/M/13 | R/femur | Osteogenic sarcoma | 15.0 | 24.0 | LCP | 310 | 8 | 22 | 9 | 13 | — | — | | 23 /M/13 | L/tibia | Ewing’s sarcoma | 13.1 | 16.0 | LCP | 160 | 7 | 18 | 4 | 11 | Local recurrence | Wide margin excision | | 24/M/14 | R/femur | Ewing’s sarcoma | 20.2 | 24.3 | LCP | 280 | 8 | 22 | 5 | 6 | — | — | | 25/M/8 | R/radius | Ewing’s sarcoma | 5.7 | 7.1 | LCP | 180 | 5 | 26 | — | 8 | — | — | | 26/F/15 | R/femur | Ewing’s sarcoma | 24.7 | 28.8 | LCP | 240 | 8 | 21 | 12 | 25 | Skin necrosis | Free flap | | 27/M/16 | L/tibia | Osteosarcoma | 16.1 | 19.1 | LCP | 260 | 7 | 18 | 7 | 9 | — | — | | 28/F/16 | R/humers | Osteosarcoma | 10.0 | 12.6 | X-fix | 177 | 8 | 20 | — | 9 | — | — | | 29/F/16 | L/calcaneum | Ewing’s sarcoma | — | — | Screws | 120 | 5 | 21 | — | 13 | — | — | | 30/F/8 | R/femur | Osteosarcoma | 15.0 | 19.0 | LCP | 240 | 8 | 16 | 8 | 12 | Fracture | I.M nail | | 31/M/16 | L/femur | Osteogenic sarcoma | 6.6 | 9.7 | Screws | 200 | 7 | 20 | 5 | 6 | — | — | | 32/M/16 | L/tibia | Osteogenic sarcoma | 20.6 | 24.1 | LCP | 240 | 8 | 22 | 6 | 9 | — | — | | 33/M/7 | L/tibia | Chondrosarcoma | 16.4 | 21.1 | LCP | 245 | 7 | 25 | 4 | 9 | — | — | | 34/M/15 | R/tibia | Osteosarcoma | 10.9 | 16.3 | LCP | 219 | 6 | 21 | 5 | 10 | — | — | | 35/M/10 | L/femur | Ewing’s sarcoma | 18.0 | 21.0 | LCP | 255 | 8 | 23 | 8 | 14 | — | — | | 36/M/7 | R/radius | Ewing’s sarcoma | 8.7 | 10.0 | LCP | 240 | 7 | 21 | — | 7 | — | — | | 37/F/12 | R/femur | Osteogenic sarcoma | 11.8 | 15.0 | LCP | 210 | 7 | 23 | 7 | 12 | Fracture | I.M nail | | 38/M/11 | R/tibia | Osteosarcoma | 13.6 | 21.0 | LCP | 240 | 8 | 27 | 4 | 8 | — | — | | 39/F/12 | L/femur | Osteosarcoma | 18.9 | 23.1 | LCP | 255 | 7 | 25 | 4 | 10 | — | — | | 40/M/9 | L/tibia | Ewing’s sarcoma | 11.4 | 15.0 | LCP | 230 | 8 | 22 | 7 | 11 | — | — |
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M: male; F: female; L: left; R: right; LCP: locking compression plate; I.M nail: intramedullary nail.
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