Segmental Allograft Reconstruction Concomitant with Neoadjuvant Chemotherapy

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Limb Salvage
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Abstract

The effect of chemotherapy on the outcome of allograft reconstruction procedures after the resection of bone tumors is of considerable interest in the light of both experimental [1,2] and clinical evidence [3,4] suggesting that it has an adverse effect on bone repair. The crucial clinical issue, however, is whether the failure of allograft reconstruction due to infection, fracture, or both [5], is especially frequent when performed concomitant with administration of chemotherapy. We addressed this question by evaluating the clinical results and complications of segmental allograft replacement in a group of young patients who were followed prospectively and of whom the majority had high grade sarcomas and were treated with neoadjuvant chemotherapy protocols.

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References

  1. Burchardt H, Glowczewskie FP Jr, Enneking WF (1983) The effect of adriamycin and methotrexate on the repair of segmental cortical autografts in dogs. J Bone Joint Surg 65A: 103

    Google Scholar 

  2. Friedlaender GE, Tross RB, Doganis AC, Kirkwood JM, Baron R (1984) Effects of chemotherapeutic agents on bone. I. Short-term methotrexate and doxorubicin (adriamycin) treatment in a rat model. J Bone Joint Surg 66A: 602

    Google Scholar 

  3. Delepine N, Delepine G, Hernigou P, Hassan P, Desbois JC (1989) Bone union of allografts and chemotherapy considerations about 55 consecutive cases. In: Aebi M, Regazzoni P (eds) Bone Transplantation. Springer, Berlin Heidelberg New York, p 333

    Chapter  Google Scholar 

  4. Winkelmann W, Jurgens H (1989) The influence of pre- and postoperative polydrug chemotherapy on bone healing in tumor surgery. In: Aebi M, Regazzoni P (eds) Bone Transp lantation. Springer, Berlin Heidelberg New York, p 335

    Chapter  Google Scholar 

  5. Mankin HJ, Gebhardt MC, Tomford WW (1987) The use of frozen cadaveric allografts in the management of patients with bone tumors of the extremities. Orthop Clin North Am 10: 275

    Google Scholar 

  6. Bacci, G, Springfield D, Capanna R, Picci P, Guerra A, Albissini U, Ruggieri P, Biagini R, Campanacci M (1987) Neoadjuvant chemotherapy for osteosarcoma of the extremity. Clin Orthop 224: 268

    PubMed  Google Scholar 

  7. Makley JT (1985) The use of allografts to reconstruct intercalary defects of long bone. Clin Orthop 197: 58

    PubMed  Google Scholar 

  8. Mnaymneh W, Malinin TI, Makley JT, Dick HM (1985) Massive osteoarticular allografts in the reconstruction of extremities following resection of tumors not reqniring chemotherapy and radiation. Clin Orthop 197: 76

    PubMed  Google Scholar 

  9. Dick HM, Malinin TI, Mnaymneh WA (1985) Massive allograft implantation following radical resection of high-grade tumors reqniring adjuvant chemotherapy treatment. Clin Orthop 197: 88

    PubMed  Google Scholar 

  10. Delloye C, de Nayer P, Allington N, Munting E, Coutelier L, Vincent A (1988) Massive bone allografts in large skeletal defects after tumor surgery: a clinical and microradiographic evaluation. Arch Orthop Trauma Surg 107: 31

    Article  PubMed  CAS  Google Scholar 

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© 1991 Springer-Verlag Berlin Heidelberg

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Czitrom, A., Capanna, R., Donati, D., Bacci, G., Campanacci, M. (1991). Segmental Allograft Reconstruction Concomitant with Neoadjuvant Chemotherapy. In: Langlais, F., Tomeno, B. (eds) Limb Salvage. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75879-9_12

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  • DOI: https://doi.org/10.1007/978-3-642-75879-9_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-75881-2

  • Online ISBN: 978-3-642-75879-9

  • eBook Packages: Springer Book Archive

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