Research Article
Epiphyseal Sparing and Reconstruction by Frozen Bone Autograft after Malignant Bone Tumor Resection in Children
Table 2
Summary of different limb reconstruction methods used in children.
| | Item of classification | Our Study | Reconstruction by expandable prosthesis [20] | Resurfaced allograft- prosthetic composite [21] | Epiphyseal preservation and allograft reconstruction [10] | Extracorporeal irradiation [1] | Stanmore noninvasive extendible endoprosthesis [3] |
| | Number of patients | 18 | 38 | 19 | 35 | 101 | 55 |
| | Mean follow-up (months) | 72.8 | 113 | 78 | 108 | 52.8 (median) | 41.2 |
| | Recurrence | 5.5% | | 0% | 9% | 4.9% | 0% |
| | Infection | 11.1% | 47% | Deep 5%
Superficial 0% | 5.7% | 5.9% | 10.9% |
| | Fracture | 11.1% | 15.7% | 32% | 31.4% | — | 5.4% |
| | Amputation | 5.5% | 8.5% | 5.2% | | 3.9% | 1.8% |
| | Other complications | Nonunion
11.1% | Aseptic loosening
28%
Dislocation
16.6% | Nonunion
10.5%
Failure of extensor mechanism 14.5% | Nonunion
8.5% | Distant recurrence 19.8% | Persistent foot drop 3.6%
Gearbox failure 5.4% |
| | Overall survival | 94.4% | 55% | 84% | 86% | (80.8%~85.7%) | 81.8% |
| | Mean LLD | 22 mm | 37 mm | 19 mm | | | |
| | Overall complication rate | 33.3% | 58% | | 54% | 35.4% | 29.1% |
| | Functional outcome | Excellent in 94.4%
Poor in 5.5% | Excellent and good in 71%
Poor in 29% | In 13 patients, excellent and good in 62% and fair in 38% | | Will be reported later | Mean MSTS score 24.7 |
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