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Osteosarcoma pp 125–133Cite as

Limb-Salvage Surgery and Reconstruction for Skeletally Immature Childhood Osteosarcoma: Extendible Endoprosthesis

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Abstract

The purpose of this article is to report on the development, indication, and clinical outcome of extendible endoprostheses for the management of osteosarcomas in the skeletally immature patients after resection of major growth plates in conjunction with limb-salvage surgery. The first generation of extendible endoprostheses appeared in the late 1970s. They were invasive, and open lengthening procedures were required. Several subsequent modifications have yielded the endoprostheses capable of lengthening through less invasive methods to minimize the risk of complications. An extendible endoprosthesis should be applied for the skeletally immature patients when the estimated leg length discrepancy at skeletal maturity is expected to be more than 3 cm or when the arm length discrepancy will be more than 5 cm. Prosthetic reconstruction is well received emotionally and cosmetically. Furthermore, even if additional revision surgeries are required, extendible endoprostheses provide good functional outcome in skeletally immature children with osteosarcomas. However, the patients and their families must be carefully selected with an emphasis on motivation and acceptance, since rather frequent and substantial treatment during follow-up is inevitably required. In the future, improvements in the surgical techniques and endoprosthetic designs are needed to diminish the number of complications.

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Authors and Affiliations

  1. Departments of Orthopedic Surgery, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo, 663-8501, Japan

    Hiroyuki Futani & Shinichi Yoshiya

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  1. Hiroyuki Futani
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  2. Shinichi Yoshiya
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Correspondence to Hiroyuki Futani .

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Editors and Affiliations

  1. Osaka National Hospital, Osaka University, Osaka, Osaka, Japan

    Takafumi Ueda

  2. National Cancer Center Hospital, Tokyo, Tokyo, Japan

    Akira Kawai

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Futani, H., Yoshiya, S. (2016). Limb-Salvage Surgery and Reconstruction for Skeletally Immature Childhood Osteosarcoma: Extendible Endoprosthesis. In: Ueda, T., Kawai, A. (eds) Osteosarcoma. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55696-1_10

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  • DOI: https://doi.org/10.1007/978-4-431-55696-1_10

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