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Reimplantation of the resected tumour-bearing segment after recycling using liquid nitrogen for osteosarcoma

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Abstract

Reconstruction after en block resection of malignant tumours is still the subject of debate. We questioned the effectiveness of reconstruction by reimplanting the tumour-bearing segment after recycling in liquid nitrogen. Ten patients with osteosarcoma around the knee were included, with a mean age of 21 years. The operative technique included wide en bloc excision, debridement, and management of the resected segment with liquid nitrogen followed by reimplantation and internal fixation. At a mean follow-up of 4.5 years there was no local or systemic recurrence and the mean functional score was 82.4%. The frozen graft united proximally and distally in all but one patient in a period ranging from six to ten months. The effectiveness of this reconstruction technique in properly selected patients with osteosarcoma is comparable to other techniques of biological reconstruction with the added benefit of being simple, cheap and durable.

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Financial support

None of the authors received financial support for this study.

Ethical approval

The board of the Orthopaedic Department at Ain Shams University has approved this study from the scientific and ethical point of view. This study meets the ethical standards and complies with the national as well as the local standards set within the department.

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Authors and Affiliations

  1. Orthopaedic Surgery Department, Demerdash Hospital, Ain Shams University, Abbasseia Square, Cairo, Egypt

    Mohamed Abdel Rahman, Ayman Bassiony & Hisham Shalaby

  2. 3B Foad Basha St., Heliopolis, Cairo, Egypt

    Hisham Shalaby

Authors
  1. Mohamed Abdel Rahman
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  2. Ayman Bassiony
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  3. Hisham Shalaby
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Corresponding author

Correspondence to Hisham Shalaby.

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Abdel Rahman, M., Bassiony, A. & Shalaby, H. Reimplantation of the resected tumour-bearing segment after recycling using liquid nitrogen for osteosarcoma. International Orthopaedics (SICOT) 33, 1365–1370 (2009). https://doi.org/10.1007/s00264-009-0773-6

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  • DOI: https://doi.org/10.1007/s00264-009-0773-6

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