Key result
Total tibia allograft-prosthetic composite allows 2-year recurrence-free ambulation in a patient with adamantinoma.
Why the study?
Extensive tibia bone primary malignancy requires unique reconstruction options, with limited data on total tibia allograft-prosthetic composite reconstruction.
Does total tibia allograft-prosthetic composite reconstruction allow ambulation and prevent tumor recurrence in a patient with extensive tibia adamantinoma?
Case Report (n=1)
Does total tibia allograft-prosthetic composite reconstruction allow ambulation and prevent tumor recurrence in a patient with extensive tibia adamantinoma?
Total tibia allograft-prosthetic composite reconstruction is a viable option for extensive tibia bone primary malignancy, allowing ambulation and survival without recurrence at 2 years.
May support total tibia allograft-prosthetic composite in select extensive malignancies; leaves open durability and generalizability beyond this single case.
CASE: A 47-year-old woman with adamantinoma of the entire left tibia and distal fibula underwent resection and reconstruction using a total tibia allograft-prosthetic composite with rotating hinged knee replacement and ankle fusion. She is ambulating without tumor recurrence with 2-year follow-up. CONCLUSION: This case report offers a unique reconstruction option for extensive tibia bone primary malignancy. To our knowledge, this is the longest survival for total tibia allograft prosthetic composite reconstruction.
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Callan et al. (2020) conducted a case report in Adamantinoma of the entire left tibia and distal fibula (n=1). Resection and reconstruction using a total tibia allograft-prosthetic composite with rotating hinged knee replacement and ankle fusion was evaluated on Tumor recurrence and ambulation. Resection and reconstruction using a total tibia allograft-prosthetic composite allowed a 47-year-old woman with adamantinoma to ambulate without tumor recurrence at 2-year follow-up.
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