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University Emergency Hospital Bucharest, Romania
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University Emergency Hospital Bucharest, Romania
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University Emergency Hospital Bucharest, Romania
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University Emergency Hospital Bucharest, Romania
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University Emergency Hospital Bucharest, Romania
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prosthesis. All rotationplasty procedures require preservation of the blood supply to the distal residual stump and sometimes intact nerve supply. The most popular rotationplasty is the Van Nes rotationplasty, developed for reconstruction after resection of
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instability, valgus deformity, and degenerative changes ( 5 , 15 , 16 , 17 ). Resection of the distal fibula without reconstruction can result in functional deficits in the ankle joint, as the fibula plays an important role in ankle stability and movement
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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resection–reconstruction for bone metastases are damage to the main vascular or nerve bundle and massive extension of the tumor into the soft parts that will not allow the prosthesis to be covered. Relative contraindications for resection and reconstruction
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image of nerve root preservation; (B) 3D-printed implant with designed holes for muscle reconstructions and EPORE® structure; (C) hip muscle transfer through the implant; (D) postoperative radiograph shows definitive implant. Implantability
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Introduction Endoprosthetic reconstruction in orthopaedic oncology has evolved over the last 30 to 40 years, with novel endoprosthetic systems and solutions developed constantly. Endoprosthetic reconstruction has made limb-salvage surgery
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radiation therapy techniques combined with ‘en bloc’ resection of the tumour and various limb salvage procedures and reconstructions with total elbow arthroplasties, megaprostheses, allografts, vascularized autografts, or allograft-prosthetic composite
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chondromas or due to the growth of a solitary synovial chondroma, have been described as ‘giant solitary synovial osteochondromatosis’. 9 The last may cause ulnar nerve neuropathy due to nerve compression. 6 , 10 , 11 The diagnosis is based on plain
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benign and malignant lesions. 10 , 12 Whilst traumatic soft-tissue swellings are usually painful, even quite large STSs may be indolent ( Fig. 1 ). Malignant peripheral nerve sheath tumours (MPNSTs) developing in patients with neurofibromatosis type
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Peripheral Nerve Sheath Tumour) and myxofibrosarcomas, followed by synovial sarcoma and undifferentiated pleomorphic sarcoma. The ones with the lowest risk of residual tumour are liposarcoma and leiomyosarcoma. Margins Most lumps that are
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improved chemotherapy and radiotherapy, new targeted therapy such as bisphosphonates and denosumab (antigen against RANKL) reduce skeletal-related events (SREs). A broad spectrum of surgical options is available for reconstruction of defects. Many of the