Hip Preservation and Capanna Reconstruction for Pediatric Proximal Femur Ewing Sarcoma: A Report of 2 Cases.


Journal

JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828

Informations de publication

Date de publication:
01 Apr 2024
Historique:
medline: 31 5 2024
pubmed: 31 5 2024
entrez: 31 5 2024
Statut: epublish

Résumé

This is a first report describing preservation of the femoral head by transcervical resection of proximal femoral Ewing sarcoma in 2 pediatric patients. A unique Capanna reconstruction supported joint salvage. At 1 year, Pediatric Outcomes Data Collection Instrument and Pediatric Toronto Extremity Salvage Score outcomes were excellent. Surveillance magnetic resonance imaging was without evidence of recurrence or impaired perfusion to the femoral head. We demonstrate the feasibility of hip joint preservation and maintenance of femoral head viability after transcervical resection of pediatric proximal femur bone sarcomas while preserving the medial circumflex femoral artery. This technique may be a preferred option over joint sacrifice and endoprosthetic replacement in young patients when tumor margins permit.

Identifiants

pubmed: 38820206
doi: 10.2106/JBJS.CC.23.00644
pii: 01709767-202406000-00042
doi:

Types de publication

Journal Article Case Reports

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.

Déclaration de conflit d'intérêts

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C344).

Références

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Auteurs

Erik J Geiger (EJ)

Department of Orthopaedic Surgery, University of Miami, Miami, Florida.

Joseph K Kendal (JK)

Department of Orthopaedic Surgery, University of Calgary, Calgary, Alberta, California.

Mark A Greyson (MA)

Division of Plastic and Reconstructive Surgery, University of Colorado, Aurora, Colorado.

Matthew M Moghaddam (MM)

David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.

Neil F Jones (NF)

Department of Orthopaedic Surgery, University of California-Los Angeles, Los Angeles, California.

Nicholas M Bernthal (NM)

Department of Orthopaedic Surgery, University of California-Los Angeles, Los Angeles, California.

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