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Below-knee amputation through a joint-sparing proximal tibial replacement for recurrent tumour



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Abstract

We report a case which highlights the progression of osteofibrous dysplasia to adamantinoma and questions whether intralesional curettage is the appropriate treatment. The role of a joint-sparing massive endoprosthesis using cortical fixation is demonstrated and we describe a unique biomedical design which resulted in the manufacture of an end cap to allow amputation through a custom-made proximal tibial replacement, rather than an above-knee amputation following recurrence.


Correspondence should be sent to Dr B. G. I. Spiegelberg; e-mail: benspiegelberg@doctors.net.uk

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