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TRANSPLANTATION OF THE TIBIA AND FIBULA TO REPLACE THE FEMUR FOLLOWING RESECTION "TURN-UP PLASTY OF THE LEG"
C. P. VAN NES
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Boerhaavelaan 3, Leiden, The Netherlands
1964 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1964 Sep 01;46(6):1353-1355
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Abstract

I have treated since my publication in October 1948 three cases of tumor of the femur by resection of the femur and replacement of the femur by the tibia and fibula. The technique used was that described in the original publication. The functional results, especially walking with a prosthesis, were very good and were superior to those obtained by high amputation of the thigh or disarticulation of the hip. The movements of the new hip joint were satisfactory. The most striking fact is that two patients treated by partial turn-up plasty are alive and well twenty-two years and fifteen years after operation. On the other hand three patients treated by total turn-up plasty died from metastases from one to six years after operation.

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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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