Reconstruction of lateral knee joint stability following resection of proximal fibula tumors

Managing tumors of the proximal fibula may require en bloc resection of the fibular head with the attachment site of the lateral collateral ligament (LCL) and biceps femoris tendon. The aim of the present study was to evaluate knee stability and the Musculoskeletal Tumor Society (MSTS) functional sc...

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Main Authors:	ZHAO, SHI-CHANG, ZHANG, CHANG-QING, ZHANG, CHUN-LIN
Format:	Online
Language:	English
Published:	D.A. Spandidos 2014
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3881052/

id	pubmed-3881052
recordtype	oai_dc
spelling	pubmed-38810522014-01-06 Reconstruction of lateral knee joint stability following resection of proximal fibula tumors ZHAO, SHI-CHANG ZHANG, CHANG-QING ZHANG, CHUN-LIN Articles Managing tumors of the proximal fibula may require en bloc resection of the fibular head with the attachment site of the lateral collateral ligament (LCL) and biceps femoris tendon. The aim of the present study was to evaluate knee stability and the Musculoskeletal Tumor Society (MSTS) functional score of patients with proximal fibula tumors. Twenty-nine patients with proximal fibula tumors were retrospectively reviewed (18 patients in the reconstruction group and 11 patients in the non-reconstruction group). A comparative analysis was conducted of knee stability (measuring the degree of lateral joint space opening using varus stress radiographs with a 30º knee flexion) and MSTS functional score between the two groups. The mean follow-up period was 42.8±20.9 months (range 24–117) and 40.8±26.0 months (range 24–117) for the reconstruction and the non-reconstruction groups, respectively. Fifteen patients (83.3%) in the reconstruction group had a stable knee, one (5.6%) had grade 1 instability and two (11.1%) had grade 2 instability. Four patients (36.4%) in the non-reconstruction group had a stable knee, three (27.3%) had grade 1 instability, one (9.1%) had grade 2 instability and three (27.3%) had grade 3 instability. Patients who underwent reconstructive surgery exhibited a higher rate of knee stability compared with those in the non-reconstruction group (P<0.05). The MSTS function scores were 93% (range, 93–100%) for the reconstruction group and 87% (range, 60–100%) for the non-reconstruction group (P<0.05). Reconstruction of the LCL and biceps femoris tendon to the lateral tibial metaphysis with a suture anchor was a safe, reliable and simple technique following resection of proximal fibula tumors. D.A. Spandidos 2014-02 2013-11-26 /pmc/articles/PMC3881052/ /pubmed/24396415 http://dx.doi.org/10.3892/etm.2013.1429 Text en Copyright © 2014, Spandidos Publications http://creativecommons.org/licenses/by/3.0 This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	ZHAO, SHI-CHANG ZHANG, CHANG-QING ZHANG, CHUN-LIN
spellingShingle	ZHAO, SHI-CHANG ZHANG, CHANG-QING ZHANG, CHUN-LIN Reconstruction of lateral knee joint stability following resection of proximal fibula tumors
author_facet	ZHAO, SHI-CHANG ZHANG, CHANG-QING ZHANG, CHUN-LIN
author_sort	ZHAO, SHI-CHANG
title	Reconstruction of lateral knee joint stability following resection of proximal fibula tumors
title_short	Reconstruction of lateral knee joint stability following resection of proximal fibula tumors
title_full	Reconstruction of lateral knee joint stability following resection of proximal fibula tumors
title_fullStr	Reconstruction of lateral knee joint stability following resection of proximal fibula tumors
title_full_unstemmed	Reconstruction of lateral knee joint stability following resection of proximal fibula tumors
title_sort	reconstruction of lateral knee joint stability following resection of proximal fibula tumors
description	Managing tumors of the proximal fibula may require en bloc resection of the fibular head with the attachment site of the lateral collateral ligament (LCL) and biceps femoris tendon. The aim of the present study was to evaluate knee stability and the Musculoskeletal Tumor Society (MSTS) functional score of patients with proximal fibula tumors. Twenty-nine patients with proximal fibula tumors were retrospectively reviewed (18 patients in the reconstruction group and 11 patients in the non-reconstruction group). A comparative analysis was conducted of knee stability (measuring the degree of lateral joint space opening using varus stress radiographs with a 30º knee flexion) and MSTS functional score between the two groups. The mean follow-up period was 42.8±20.9 months (range 24–117) and 40.8±26.0 months (range 24–117) for the reconstruction and the non-reconstruction groups, respectively. Fifteen patients (83.3%) in the reconstruction group had a stable knee, one (5.6%) had grade 1 instability and two (11.1%) had grade 2 instability. Four patients (36.4%) in the non-reconstruction group had a stable knee, three (27.3%) had grade 1 instability, one (9.1%) had grade 2 instability and three (27.3%) had grade 3 instability. Patients who underwent reconstructive surgery exhibited a higher rate of knee stability compared with those in the non-reconstruction group (P<0.05). The MSTS function scores were 93% (range, 93–100%) for the reconstruction group and 87% (range, 60–100%) for the non-reconstruction group (P<0.05). Reconstruction of the LCL and biceps femoris tendon to the lateral tibial metaphysis with a suture anchor was a safe, reliable and simple technique following resection of proximal fibula tumors.
publisher	D.A. Spandidos
publishDate	2014
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3881052/
_version_	1612044309245198336

Reconstruction of lateral knee joint stability following resection of proximal fibula tumors

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