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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 3Open 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!