case_images: PMC6011161_01
case_images: Preoperative X-ray from a right tibia. A plain X-ray from a right tibia with an intraosseal tumor that extended from 4 cm below the knee joint proximally to about 4 cm from the ankle joint distally.
case_images: CRIOR2018-3656913.001.jpg
case_images: PMC6011161_01_CRIOR2018-3656913.001.jpg
case_images: fig1
case_images: A plain X-ray and magnetic resonance image (MRI) confirmed an intraosseal tumor that extended from 4 cm below the knee joint proximally to about 4 cm from the ankle joint distally (Figure 1).
case_images: The preoperative planning of a custom-made total tibia endoprosthesis. The preoperative planning for total tibia resection and reconstruction with a custom-made, silver-coated, modular endoprosthesis of the Modular Universal Tumor and Revision System.
case_images: CRIOR2018-3656913.002.jpg
case_images: PMC6011161_01_CRIOR2018-3656913.002.jpg
case_images: fig2
case_images: Tumor and Revision System (Implantcast , Buxtehude, Germany) (Figure 2).
case_images: Postoperative X-ray from a right tibia. The knee joint was reconstructed with a metal-on-poly articulation with a (unique) metal-on-metal hinge mechanism, and the ankle joint was reconstructed with a metal-on-poly hinge joint with a talar replacement, stabilized with a trans-talar and trans-calcanear hydroxyapatite-coated stem. A supplementary screw was used to add stability in the subtalar joint.
case_images: CRIOR2018-3656913.003.jpg
case_images: PMC6011161_01_CRIOR2018-3656913.003.jpg
case_images: fig3
case_images: The knee joint was reconstructed with a metal-on-poly articulation with a (unique) metal-on-metal hinge mechanism (Figure 3). The ankle joint was reconstructed with a metal-on-poly hinge joint with a talar replacement, stabilized with a trans-talar and trans-calcanear hydroxyapatite-coated stem.
case_images: Perioperative image of the total tibia resection and reconstruction. The tibia tumor is totally resected, and the tibia is replaced with a custom-made endoprosthesis. The endoprosthesis was enveloped in a Trevira tube to facilitate the attachment of soft tissues and the patella tendon.
case_images: CRIOR2018-3656913.004.jpg
case_images: PMC6011161_01_CRIOR2018-3656913.004.jpg
case_images: fig4
case_images: The endoprosthesis was enveloped in a Trevira (Implantcast ) tube to facilitate the attachment of soft tissues and the patella tendon (Figure 4).
case_images: Patient's right lower extremity image in an 8-year follow-up visit. The silver coating created a mild, local skin argyria pigmentation, with cosmetic discomfort.
case_images: CRIOR2018-3656913.005.jpg
case_images: PMC6011161_01_CRIOR2018-3656913.005.jpg
case_images: fig5
case_images: The silver coating created a mild, local skin argyria pigmentation, with cosmetic discomfort (Figure 5).