CASE REPORT
Physeal Sparing Proximal Femoral Endoprosthetic Reconstruction with a Short Distal Segment: A Case Report
Eytan Galanter1, Timothy A. Damron1, *
Article Information
Identifiers and Pagination:
Year: 2023Volume: 17
E-location ID: e187432502303310
Publisher ID: e187432502303310
DOI: 10.2174/18743250-v17-e230419-2022-17
Article History:
Received Date: 09/01/2023Revision Received Date: 21/03/2023
Acceptance Date: 21/03/2023
Electronic publication date: 11/05/2023
Collection year: 2023

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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.