Below knee amputation remains the treatment of choice for most @entity1 with aggressive @entity5 of the distal tibia. We report the clinical and functional outcome of limb preserving surgery and endoprosthetic reconstruction of the distal tibia and ankle joint in five @entity1 who declined amputation. The mean age was 32 years. Two had @entity421 , one @entity2828 , @entity1822 and @entity5 . Three @entity1 developed significant complications including local recurrence, wound dehiscence and @entity281 , and fibula impingement. Despite these complications the @entity1 declined amputation even in the presence of significant discomfort. Early function was excellent in all @entity1 but deteriorated with time. The @entity1 still maintained an Enneking Score of more than 50%. Some @entity1 are unwilling to undergo amputation for aggressive @entity5 of the distal tibia. For these, excision and reconstruction with endoprosthesis allow early functional recovery but there is significant medium term morbidity and functional deterioration.

Endoprosthetic replacement of the distal tibia and XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity2828 :: ('MESH:D012512', 'Disease') :: ["Ewing's sarcoma"] @entity5 :: ('MESH:D009369', 'Disease') :: ['Giant cell tumour', 'tumours'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity1822 :: ('MESH:D007890', 'Disease') :: ['leiomyosarcoma'] @entity421 :: ('MESH:D012516', 'Disease') :: ['osteosarcoma']
@entity5 :: (MESH:D009369,Disease) :: ['ankle joint for aggressive bone tumours']
