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Talar Osteosarcoma Treated with Limb-Sparing SurgeryA Case Report
Cheng-Wei Wang, MD1; Chih-Yu Chen, MD1; Rong-Sen Yang, MD, PhD1
1 Department of Orthopaedic Surgery, National Taiwan University and Hospital, No. 7, Chung-Shan South Road, Taipei 10043, Taiwan, Republic of China. E-mail address for R.-S. Yang: rsyang@ntuh.gov.tw
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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 National Taiwan University and Hospital, Taipei, Taiwan

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Mar 16;93(6):e22 1-5. doi: 10.2106/JBJS.J.00299
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Osteosarcomas commonly occur in the metaphyses of long bones, such as the femur, tibia, and humerus1, whereas only about 1% involve the bones of the foot2. Approximately 75% of osteosarcomas of the foot arise in the calcaneus or metatarsals1. Osteosarcoma of the talus is very rare. Amini and Colacecchi first reported such a case in 1980 and treated the patient with an above-the-knee amputation3. The majority of patients with talar osteosarcoma reported on in the literature were managed with below-the-knee amputation4. Katagiri et al. reported on one patient with talar osteosarcoma who underwent treatment with ankle arthrodesis with autogenous bone graft and intramedullary nailing4. We report another case of talar osteosarcoma treated with limb-sparing surgery with allogenic bone graft from the femoral head, arthrodesis, and distal tibiofibular syndesmosis fixation. The patient was informed that data concerning the case would be submitted for publication, and she consented.
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