Resection of Parosteal Osteosarcoma of the Distal Part of the Femur: An Original Reconstruction Technique with Cement and Plate

F Pezzillo,G Maccauro,G Gosheger,B Rossi,T Nizegorodcew

doi:10.1155/2008/763056

F Pezzillo, G Maccauro + Show 3 more

Open Access

https://doi.org/10.1155/2008/763056

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Abstract

Parosteal osteosarcoma is a low-grade malignant bone tumor arising from the distal femur and tibia. Wide resection of a parosteal osteosarcoma usually prevents local recurrence. In literature, hemicortical resections of low-grade malignant bone tumors and allograft reconstruction are described. We describe a new method of resection and reconstruction of parosteal osteosarcoma located in the popliteal paraosseous space of the distal part of the femur using cement and plate (LISS-SYNTHES) through dual medial and lateral incisions. The patient did not present infections and fractures and the functional results were good. After one year, no metastases developed and there were no local recurrences.

Highlights

Parosteal osteosarcoma is a rare form of low-grade malignant osteosarcoma which usually arises on the surface of the metaphysis of long bones, representing 1–6% of all osteosarcoma [1,2,3]
Many procedures were described in the literature for the treatment of parosteal osteosarcoma [4,5,6, 10]
Marginal but histological negative surgical margin seems adequate for local control of parosteal osteosarcoma and to prevent distant metastases [10, 11]

Summary

Methodology Report

Resection of Parosteal Osteosarcoma of the Distal Part of the Femur: An Original Reconstruction Technique with Cement and Plate. Parosteal osteosarcoma is a low-grade malignant bone tumor arising from the distal femur and tibia. Wide resection of a parosteal osteosarcoma usually prevents local recurrence. Hemicortical resections of low-grade malignant bone tumors and allograft reconstruction are described. We describe a new method of resection and reconstruction of parosteal osteosarcoma located in the popliteal paraosseous space of the distal part of the femur using cement and plate (LISS-SYNTHES) through dual medial and lateral incisions. The patient did not present infections and fractures and the functional results were good. No metastases developed and there were no local recurrences

INTRODUCTION

CASE REPORT

Findings

DISCUSSION