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Mechanical Failure of the Repiphysis Expandable ProsthesisA Case Report
Kathleen S. Beebe, MD1; Anthony D. Uglialoro, MD1; Neeraj Patel, MBS1; Joseph Benevenia, MD1; Francis R. Patterson, MD1
1 Division of Musculoskeletal Oncology, Department of Orthopaedics, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, 140 Bergen Street, ACC Building, Suite D-1610, Newark, NJ 07103. E-mail address for K.S. Beebe: beebeka@umdnj.edu
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Division of Musculoskeletal Oncology, Department of Orthopaedics, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 May 01;92(5):1250-1253. doi: 10.2106/JBJS.I.00591
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Extract

The current treatment of osteosarcoma includes neoadjuvant chemotherapy followed by wide resection of the tumor and postoperative chemotherapy. While amputation of the extremity was once the mainstay of treatment, medical and surgical developments over the last several decades have led to the success of limb-salvage surgery1,2. In the very young patient, this has led to the challenge of achieving limb-length equality. Recently, the introduction of an endoprosthesis, expandable by noninvasive means, has allowed for reconstruction of the affected limb while addressing limb-length discrepancy in skeletally immature patients3.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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