The Journal of the Korean bone and joint tumor society (대한골관절종양학회지)

The Korean Musculoskeletal Tumor Society (대한근골격종양학회)
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Lengthening of the Above-knee Amputation Stump - Reports of 2 cases -

소아 슬관절 상부 절단단 연장 성형술 - 증례 보고 2례 -

  • Kim, Tai-Seung (Department of Orthopaedic Surgery, Hanyang University, College of Medicine) ;
  • Kim, Jong-Koo (Department of Orthopaedic Surgery, Hanyang University, College of Medicine) ;
  • Whang, Kuhn-Sung (Department of Orthopaedic Surgery, Hanyang University, College of Medicine)
  • 김태승 (한양대학교 의과대학 정형외과학교실) ;
  • 김종구 (한양대학교 의과대학 정형외과학교실) ;
  • 황건성 (한양대학교 의과대학 정형외과학교실)
  • Published : 1998.03.30
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Abstract

Limb-salvage surgery has become more popular than amputation for the treatment of malignant bone tumor because no differences in local recurrence and the 5-year survival rate have been found. However for young patients with sarcoma, skeletal immaturity may be a contraindication to limb-salvage surgery due to the expected leg length discrepancy. If limb-sparing procedure should be impossible for skeletally immature patients, amputation has to be given first consideration. To minimize the functional difficulty from short amputation stump of above knee amputation, we performed lengthening of the amputation stump using ipsilateral tibia. One patient was lengthened 17cm using ipsilateral tibia and the other, 12cm. Two patients and their families were satisfied both clinically and psychologically.

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