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, especially when significant soft tissue removal is needed ( 22 ). Complications may occur, such as ankle instability due to resection of ligaments around the ankle ( 44 ), pseudarthrosis, or intraoperative distal tibial fracture ( 31 ). The quality of bone
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Osteosynthesis ± PMMA Resection arthrodesis Resection arthrodesis Resection arthrodesis Tibial shaft Resection–reconstruction with modular prosthesis Preventive osteosynthesis ± PMMA Osteosynthesis ±PMMA Distal calf and foot
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observed a slightly better functional outcome in patients with tumours located in the distal femur in comparison to the proximal tibia, which could be partly related to the fact that proximal tibial resection often necessitates reconstruction of the
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/46 Distal femur (63); Proximal tibia (41) All primary GCTs NF ∅ 33 Notes . NF, data not found; N, number; M/F, male/female; GCTs, giant cell tumours; #, fracture; PMMA, polymethyl methacrylate. All tumours were surgically
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surgical control or delayed (secondary) amputations after a failed limb-sparing procedure. Another instance when amputation can be performed is when it serves as a palliative measure for non-resectable tumours complicated with pathological fractures, soft