Limb-sparing treatment of malignant tumors of the distal tibia
LIN Yi-zhen
ZHANG Zhi-chang
Abstract：Malignant tumors occurring in the distal tibia are extremely rare, mainly including osteosarcoma and Ewing's sarcoma. Due to the difficulty in soft tissue coverage of this area and the satisfactory functional outcomes of below-knee prostheses, amputation has been the standard surgical procedure traditionally. However, with the advent of neoadjuvant chemotherapy, advancements in imaging techniques, improvements in surgical technology, and increased psychological acceptance among patients, the majority now opt for limb-salvage treatment. Nevertheless, the challenges of reconstructing bone and soft tissue after extensive resection are significant because of the difficulties in soft tissue coverage, high risks of infection, and wound-related complications in this region. Due to the low incidence, limited literature is available, resulting in ongoing debates regarding treatment strategies. This review provides a literature-based overview and discussion of various limb-salvage reconstruction methods.
Keywords：TibiaNeoplasmsOsteosarcomaEwing sarcomaEwingProsthesis implantationLimb-salvageReview
Publication Date：2025-11-19
Online Publishing Date：2025-11-13(First online date of this platform, not the publication date of the document)
Pages：6( 1051-1056 )