When doing a proximal tibial prosthetic reconstruction, some surgeons think that the subcutaneous location of the proximal tibia necessitates a gastrocnemius muscle flap for closure and function. In this study, 22 @entity1 with @entity3478 had proximal @entity1347 using direct reattachment of the patellar tendon to the prosthesis without the use of a muscle flap. Two of 19 @entity1 required reoperation in the postoperative period for @entity1410 . Both were free of @entity281 at 24 months mean followup. No other wound complications occurred despite initiation of chemotherapy 2 to 3 weeks after surgery in @entity1 with high-grade malignant @entity5 (15 of 19). The mean followup was 38.6 months (range, 13-99 months). The @entity1 ranged in age from 15 to 74 years (mean, 39 years). The range of motion achieved postoperatively showed a mean of 97 degrees (+/-16.3 degrees). All @entity1 had full passive extension with a mean extensor lag of 7.5 degrees. The mean Musculoskeletal Tumor Society score was 27.6 (+/- 2.0). These results of @entity1 without @entity121 compare favorably with published results advocating gastrocnemius flaps for the attachment of the patellar tendon to the prosthesis.

Proximal @entity1347 without the use of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity3478 :: ('MESH:D001859', 'Disease') :: ['bone tumors'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumors'] @entity1347 :: ('MESH:C537775', 'Disease') :: ['tibial segmental prosthetic replacement'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection or other complications'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematomas'] @entity121 :: ('MESH:D009135', 'Disease') :: ['muscle flaps']
@entity121 :: (MESH:D009135,Disease) :: ['muscle flaps']
