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Year : 1980  |  Volume : 14  |  Issue : 2  |  Page : 150-154

Radical Resection Of Bone Tumours And Reconstruction By Autologous Bone Grafting


Correspondence Address:
S. S Yadav


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The recent trends in tumour management emphasise on en bloc radical resection of the lesion alongwith adjacent healthy tissues, and bridging the resultant bone defect with autologous or homologous bone (Enneking 1966, Wilson and Lance 1965, Tuli 1972, Sijbrandij 1978, Koskinen 1978). Extensive resection of bone followed by suitable reconstruction is advisable in cases where amputation appears to be too drastic and local excision insufficient. This type of approach is usually indicated in locally aggressive malignant tumours such as giant-cell tumour, chondrosarcoma, and aneurismal bone cyst, (b) large benign lesions like monostotic fibrous dysplasia, chondromyxoid fibroma, adamantinoma, enchondroma, and (c) certain cases of osteosarcoma particularly periosteal and juxtacortical types (Pintilie et al. 1966, Sijbrandij 1978, Koskinen 1978). Radical resection is, however, limited to lesions which are well contained in the bone and have not metastasized (Parrish 1966, and Koskinen 1978). This paper consists of observations on resections and reconstructions performed in various bone tumours. The methods employed in our cases have been modified to suit our preferences but are essentially no different in principle from those used by other workers.


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