Tubercle-Sparing Proximal Tibial Reconstruction in Patients with Primary and Metastatic Bone Disease A Case Report

Mitchell S. Fourman; Duncan C. Ramsey; Erik T. Newman; Marilyn Heng; Kevin A. Raskin; Santiago A. Lozano-Calderon

doi:10.2106/JBJS.CC.21.00483

Tubercle-Sparing Proximal Tibial Reconstruction in Patients with Primary and Metastatic Bone Disease A Case Report

Mitchell S. Fourman, Duncan C. Ramsey, Erik T. Newman, Marilyn Heng, Kevin A. Raskin, Santiago A. Lozano-Calderon

Research output: Contribution to journal › Article › peer-review

Abstract

Case: Two patients with cancer involving their proximal tibia required proximal tibial replacement (PTR). One had a softtissue sarcoma that involved her posterior cortex, and the other had extensive metaphyseal destruction from metastatic breast cancer. Their anterolateral cortex and tibial tubercle were uninvolved, permitting tubercle-sparing PTR. A plate was applied to the bone bridge in the latter patient in anticipation of radiotherapy. Both healed uneventfully and had minimal extensor lag 2 weeks postoperatively. Conclusion: Tubercle-sparing PTR preserves extensor mechanism function with minimal lag. It should be considered in patients with cancer when sparing the anterolateral cortex is oncologically safe.

Original language	English (US)
Article number	e21.00483
Journal	JBJS Case Connector
Volume	12
Issue number	1
DOIs	https://doi.org/10.2106/JBJS.CC.21.00483
State	Published - Jan 12 2022
Externally published	Yes

Keywords

Extensor mechanism
Metastatic disease
Proximal tibial replacement
Sarcoma
Tubercle-sparing

ASJC Scopus subject areas

General Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.2106/JBJS.CC.21.00483

Cite this

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title = "Tubercle-Sparing Proximal Tibial Reconstruction in Patients with Primary and Metastatic Bone Disease A Case Report",

abstract = "Case: Two patients with cancer involving their proximal tibia required proximal tibial replacement (PTR). One had a softtissue sarcoma that involved her posterior cortex, and the other had extensive metaphyseal destruction from metastatic breast cancer. Their anterolateral cortex and tibial tubercle were uninvolved, permitting tubercle-sparing PTR. A plate was applied to the bone bridge in the latter patient in anticipation of radiotherapy. Both healed uneventfully and had minimal extensor lag 2 weeks postoperatively. Conclusion: Tubercle-sparing PTR preserves extensor mechanism function with minimal lag. It should be considered in patients with cancer when sparing the anterolateral cortex is oncologically safe.",

keywords = "Extensor mechanism, Metastatic disease, Proximal tibial replacement, Sarcoma, Tubercle-sparing",

author = "Fourman, {Mitchell S.} and Ramsey, {Duncan C.} and Newman, {Erik T.} and Marilyn Heng and Raskin, {Kevin A.} and Lozano-Calderon, {Santiago A.}",

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doi = "10.2106/JBJS.CC.21.00483",

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T1 - Tubercle-Sparing Proximal Tibial Reconstruction in Patients with Primary and Metastatic Bone Disease A Case Report

AU - Fourman, Mitchell S.

AU - Ramsey, Duncan C.

AU - Newman, Erik T.

AU - Heng, Marilyn

AU - Raskin, Kevin A.

AU - Lozano-Calderon, Santiago A.

PY - 2022/1/12

Y1 - 2022/1/12

N2 - Case: Two patients with cancer involving their proximal tibia required proximal tibial replacement (PTR). One had a softtissue sarcoma that involved her posterior cortex, and the other had extensive metaphyseal destruction from metastatic breast cancer. Their anterolateral cortex and tibial tubercle were uninvolved, permitting tubercle-sparing PTR. A plate was applied to the bone bridge in the latter patient in anticipation of radiotherapy. Both healed uneventfully and had minimal extensor lag 2 weeks postoperatively. Conclusion: Tubercle-sparing PTR preserves extensor mechanism function with minimal lag. It should be considered in patients with cancer when sparing the anterolateral cortex is oncologically safe.

AB - Case: Two patients with cancer involving their proximal tibia required proximal tibial replacement (PTR). One had a softtissue sarcoma that involved her posterior cortex, and the other had extensive metaphyseal destruction from metastatic breast cancer. Their anterolateral cortex and tibial tubercle were uninvolved, permitting tubercle-sparing PTR. A plate was applied to the bone bridge in the latter patient in anticipation of radiotherapy. Both healed uneventfully and had minimal extensor lag 2 weeks postoperatively. Conclusion: Tubercle-sparing PTR preserves extensor mechanism function with minimal lag. It should be considered in patients with cancer when sparing the anterolateral cortex is oncologically safe.

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KW - Metastatic disease

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KW - Sarcoma

KW - Tubercle-sparing

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Tubercle-Sparing Proximal Tibial Reconstruction in Patients with Primary and Metastatic Bone Disease A Case Report

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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