DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20151459

Management of infected custom mega prosthesis by Ilizarov method

Karthik Gudaru, Giri Raj Harshvardhan, Vijayaraghavan PV, Sundar S., Ganesan G. Ram

Abstract


A 26 year old male patient with an aggressive giant cell tumour of the left distal femur was managed by wide excision and insertion of custom mega prosthesis. Patient developed deep infection which did not subside with multiple debridements and antibiotics.  Hence the custom mega prosthesis was removed and the bone gap was managed by Ilizarov method.  Ilizarov fixation of the left femur and tibia was done.  Femoral and tibial corticotomy was done and the bone segments were transported towards the knee to finally achieve a knee arthrodesis.  The case illustrates the method and difficulties encountered during the treatment.


Keywords


Giant cell tumour, Custom mega prosthesis, Ilizarov ring fixator

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References


Campbell text book of orthopaedics volume 1. Tumors and surgical approaches to resection of tumour.

Hoppenfield textbook of surgical exposures.

Bari et al. Giant cell tumours around the knee curettage and reconstruction by ilizarov technique. MOJ Orthopaedics and Rheumatology. 2015;3(1).

Aggarwal AN, Jain AK, Kumar S, Dhammi IK, Prashad B. Reconstructive procedures for segmental resection in Giant cell tumours around knee. Indian journal of orthopaedics. 2007;41(2):129–33.

Vidyadhara S, Rao SK. A novel approach to juxta articular aggressive and recurrent giant cell tumours:Resection arthrodesis using bone transport over an intramedullary nail. Int orthoop. 2007;31(2):179–84.

Imoto K, et al. A case report: Reconstruction of a damaged knee following treatment of giant cell tumor of the proximal tibia with cryosurgery and cement. Osteoarthritis research society international. 2002;10(5):402-7.

Vidyadhara S, Rao SK. Techniques in the management of juxta-articular aggressive and recurrent giant cell tumors around the knee, Department of Orthopaedics, Kasturba Medical College, Manipal. Eur J Surg Oncol. 2007;33(2):243-51.