Long-term Results for Limb Salvage with Osteoarticular Allograft Reconstruction

• DOI: 10.1007/s11999-009-0726-9
• Publication Date: 2009-02-12T22:56:12Z
• Authors: Christian M. Ogilvie; Eileen A. Crawford; Harish S. Hosalkar; Joseph J. King; Richard D. Lackman
• Keywords: Sports medicine

Osteoarticular allograft reconstruction after extremity tumor resection has been shown to have a high rate of complications. Although good functional results seen, long-term outcomes not well studied. We performed retrospective review 20 patients who underwent primary osteoarticular sarcoma resection. All postoperative complications related the were recorded. Musculoskeletal Tumor Society 1993 and Toronto Extremity Salvage Score scores used for evaluation at last followup. Minimum followup was 10 years (mean, 16 years; range, 10–21 years). Seventy percent experienced an event during period. Recorded events fracture (nine patients), progressive arthritis (five), nonunion (four), infection (two). Sixty allografts removed mean 5.2 years. Progressive led total joint arthroplasty in five (25%). Mean 25 30 95% retained their original allograft. sarcomas had adverse (70%) removal (60%) Functional with intact grafts comparable segmental replacement prostheses reported literature. Level Evidence: IV, therapeutic study. See Guidelines Authors complete description levels evidence.