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MANAGEMENT OF LOWER LIMBS DISMETRIES SECONDARY TO MALIGNANT LONG BONE TUMORS

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MANAGEMENT OF LOWER LIMBS DISMETRIES SECONDARY TO MALIGNANT LONG BONE TUMORS

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    1. MANAGEMENT OF LOWER LIMBS DISMETRIES SECONDARY TO MALIGNANT LONG BONE TUMORS Pérez Rivarés MC, Ullot Font R, Cepero Campā S, Huguet Carol R, Gargantilla Vázquez A

    2. Introduction Treatment of lower limbs malignant long bone tumors entails: great resections (including the physeal plates) reconstructions with bank bone allografts

    3. Methods 4 patients diagnosed since 1999 to 2000 as having a malignant tumor of the femur were treated:

    4. Case 1

    6. Case 3 Open physeal plates

    7. Case 4

    8.  Results   We did not length the femur in any case. All cases subsequently received an Aquiles tenotomy. Healing index mean = 32.5d/cm (range, 28-35.6).

    9. Conclusions Malignant lower limbs tumor treatment often generates great dismetries in children because of the physeal plates sacrifice. In attempt to prevent non-union, lengthening must never be done in the reconstructed bone byusing bone bank allograft. We think that bone lengthening to correct lower limbs dismetries after treatment of a malignant long bone tumor is an innovating practice. Therefore, there are not many reports about such interesting challenge. This short serie shows a mean healing index similar to not tumoral lenghtenings, and lower than seen at congenital malformations.

    10. Thanks!

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