The case describes successful distal tibial resection, fibular autograft, and ankle arthrodesis in two patients who had giant cell tumor in the distal tibia. At long-term followup, the patients had no pain and no limitation in daily or low-impact recreational activities. In conclusion, due to the large resection that is often necessary for aggressive tumors, fibular autograft and ankle arthrodesis may be a useful method in the distal tibia.
AngusP.D.; CowellH.R.: Triple arthrodesis.A critical long-term review. J. Bone Joint Surg. Br.68: 260–265, 1986.
2.
BeyaertC; SirveauxF; PaysantJ; MoleD.; AndreJ.M.: The effect of tibio-talar arthrodesis on foot kinematics and ground reaction force progression during walking.Gait Posture.20: 84–91, 2004.
CampanacciM; BertoniF.; BacchiniP.: Bone and soft tissue tumors. In: NotiniS., translator. Translation of Tumori delle ossa e delle parti molli.New-York, Springer-Verlag; p. 117–152, 1990.
6.
CanaleS.T.; KellyF.B.Jr.: Fractures of the neck of the talus.Long-term evaluation of seventy-one cases. J. Bone Joint Surg. Am.60: 143–156, 1978.
7.
CollmanDR; KaasM.H.; SchuberthJ.M.: Arthroscopic ankle arthrodesis: factors influencing union in 39 consecutive patients.Foot Ankle Int.27: 1079–1085, 2006.
8.
InnocentiM; DelcroixL; ManfriniM; CerusoM.; CapannaR.: Vascularized proximal fibular epiphyseal transfer for distal radial reconstruction.J. Bone Joint Surg. Am.87: 237–246, 2005. http://dx.doi.org/10.2106/JBJS.E.00295
9.
LionbergerDR; BishopJ.O.; TullosH.S.: The modified Blair fusion.Foot Ankle.3: 60–62, 1982.
10.
MorrisH.D.HandW.L.DunnA.W.: The modified Blair fusion for fractures of the talus.J. Bone Joint Surg. Am.53: 1289–1297, 1971.
11.
NatarajanMV; AnnamalaiK; WilliamsS; SelvarajR.; RajagopalT.S.: Limb salvage in distal tibial osteosarcoma using a custom mega prosthesis.Int. Orthop.24: 282–284, 2000. http://dx.doi.org/10.1007/s002640000172
12.
SalemKH; KinzlL.; SchmelzA.: Ankle arthrodesis using Ilizarov ring fixators: a review of 22 cases.Foot Ankle Int.27: 764–770, 2006.
13.
SchuberthJM; CheungC.RushSM; BlitzN.; RolingB.: The medial malleolar approach for arthrodesis of the ankle: a report of 13 cases.J. Foot Ankle Surg.44: 125–132, 2005. http://dx.doi.org/10.1053/j.jfas.2005.01.012
14.
ShapiroMS; EndrizziDP; CannonR.M.; DickH.M.: Treatment of tibial defects and nonunions using ipsilateral vascularized fibular transposition.Clin. Orthop.236: 207–212, 1993.