All published articles of this journal are available on ScienceDirect.
Physeal Sparing Proximal Femoral Endoprosthetic Reconstruction with a Short Distal Segment: A Case Report
The Open Orthopaedics Journal
•
11 May 2023 •
CASE REPORT
•
DOI: 10.2174/18743250-v17-e230419-2022-17
Abstract
Background:
A custom endoprosthesis allowed for the preservation of the distal femoral physis with a short remaining metaphyseal segment after osteosarcoma resection in a 10-year-old boy. CASE
Case Presentation:
This case illustrates a reconstructive alternative allowing physeal sparing with minimal remaining metaphyseal bone. At the three-year follow-up, the patient has remained complication-free with distal femoral growth maintaining symmetric limb length.
Conclusion:
When intercalary biologic reconstruction is not an option and the sacrifice of physis necessitates an extendible total femoral prosthesis, custom physeal sparing short segment press-fit fixation is an appropriate solution.
Keywords: Distal segment, Endoprosthetic reconstruction, Physis necessitates, Symmetric limb length, Physeal sparing, Metaphyseal bone.