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resection area and the fascia lata allograft is inserted and then sutured with the capsule. Application for tumour resection and allograft reconstruction Osteosarcoma and Ewing’s sarcoma are the most frequent malignant primary bone tumours
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technique. Examples come from the creation of a personalised osteotomy template for the surgical treatment of cubitus varus deformity, 46 and for total knee arthroplasty and the prototyping of PS instruments during simulated pelvic bone tumour surgery
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peri-acetabular malignant bone tumour . International Orthopaedics 2018 42 687 – 694 . ( https://doi.org/10.1007/s00264-017-3645-5 ) 26. Albergo JI Farfalli GL Ayerza MA Ritacco LE & Aponte-Tinao LA . Computer-assisted surgery (CAS) in
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after curettage, the role of these adjuvant therapies remains controversial. It is important to note that GCTs are not sensitive to radiotherapy or chemotherapy, often used against other primary bone tumours. 1 , 9 Distant metastases and malignant
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from Google Scholar. Of these, 11 were excluded according to the inclusion criteria. In detail, there were one book, two studies written in foreign languages, two revision studies, four not fully scientific journals, one bone tumour surgery and one
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and lateral radiograph of the symptomatic ankle and foot are helpful in determining foot morphology such as pes cavus. Radiographs of the contralateral side may be required for comparison. Bone abnormalities such as stress fractures, bone tumours and
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osteomyelitis in children bears a misleading clinical and radiological similarity to various bone tumours, most importantly Ewing’s sarcoma and osteosarcoma. 15 , 40 , 41 Acute haematogenous osteomyelitis must be ruled out before arriving at the diagnosis
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(approximately 11%). 2 Care must be taken when verifying that the medical history is concordant with the findings of the physical examination. In the case of a history of pain and limping, differential diagnoses such as musculoskeletal infection, bone
Royal Perth Hospital, Perth, Australia
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rate. Four patients (25%) underwent revision surgery (two aseptic loosening, one dislocation, one deep infection). Two patients (12.5%) had a perioperative pathological fracture. The tumours in these studies were primary bone tumours including
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interspersed areas of bright signal on T2-weighting and bone and peri-osseous enhancement. It is difficult to differentiate osteitis from a primary or metastatic bone tumour without a biopsy. 141 Biopsy is recommended to rule out other diagnoses 140