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En bloc resection and reconstruction using a talar prosthesis for malignant talar bone tumor: a surgical technique. | LitMetric

AI Article Synopsis

  • * Reconstruction methods after resection include tibiocalcaneal fusion, frozen autograft, and talar prosthesis, with the latter being preferred for better ankle movement and fewer complications.
  • * This report details a surgical technique for en bloc resection and reconstruction of a malignant talar tumor, using both anterior and lateral surgical approaches followed by a talar prosthesis.

Article Abstract

En bloc resection is required for treatment of intermediate-grade talar tumors with extraosseous extension (Enneking stage 3) and malignant talar tumors without intra-articular invasion (Enneking stages IA and IIA). After resection, reconstruction options include tibiocalcaneal fusion, frozen autograft, and talar prosthesis; however, a talar prosthesis is preferable because it preserves ankle range of motion, does not cause leg length discrepancy, and is associated with good long-term outcomes. To the best of our knowledge, en bloc resection and reconstruction of a malignant talar tumor has not been previously reported in detail. We report a detailed surgical technique for en bloc resection of a malignant talar bone tumor using combined anterior and lateral approaches followed by reconstruction using a talar prosthesis.

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Source
http://dx.doi.org/10.1007/s00590-024-04056-9DOI Listing

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