CASE REPORT

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.
Fulltext HTML PDF ePub
1800
1801
1802
1803
1804