Open AccessA 2-stage Distal Femur Reconstruction with Expandable Endoprosthesis in a Pediatric Patient Presenting with a Pathologic Fracture through an Osteosarcoma
Author(s) -
Jasson Louie R. Arcinue,
Edward H. M. Wang,
Gregorio Marcelo S. Azores
Publication year - 2019
Publication title -
acta medica philippina/acta medica philippina
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.128
H-Index - 4
eISSN - 2094-9278
pISSN - 0001-6071
DOI - 10.47895/amp.v53i1.232
Subject(s) - osteosarcoma , medicine , amputation , surgery , femur , stage (stratigraphy) , chemotherapy , primary bone , radiology , pathology , paleontology , biology
Osteosarcoma in pediatric patients has traditionally been treated with amputation, especially if there is a pathologic fracture through the tumor.We report the case of a 12-year-old boy who sustained a pathologic fracture through distal femoral osteosarcoma. After neoadjuvant chemotherapy, he underwent limb saving surgery: wide excision of the osteosarcoma followed by a second-stage reconstruction with an expandable tumor endoprosthesis. He has a functional score of 93% and is free of disease 8 years since diagnosis and 2 years since the end of lengthening.This is the first reported case in Philippine medical literature of limb saving surgery in osteosarcoma reconstructed with an expandable endoprosthesis.