Introduction: Adamantinoma is a primary low-grade, malignant bone tumor, of unknown histogenesis which is a rare neoplasm, comprise only 0.1–0.5% of all primary bonetumors. It is slightly more common in men than women, with a ratio of 5:4. Wide tumour resection and limb salvage is the treatment of choice. Case report: A 24 year female reffered with chief complaints of pain and limping lasting for approximately 2 years. Plain X-ray showed an expansile multicystic lesion at the diaphysis of the left tibia anterior cortex with periosteal reaction . We used an oscillating bone saw to perform a total resection of the lesion preserving the anterior cortex. Tibial defect created with this resection was replaced with a 14 cm. long strut cadaveric femoral allograft that fixed to tibia with a dynamic commpresive plate (DCP) and screws. Discussion: In surgical treatment of Adamantinoma, total resection was not performed and remain intact posterior cortex to increased the patient satisfaction, at the same time, bone fixation and early weight bearing at the postoperative. We believe that the defect will be able to union with appropriate fixation of the allograft also be long size.
J. Mirra, Adamantinoma and fibrous dysplasia. Bone Tumors. Clinical, radiologic and pathologic correlations. Philadelphia: Lea & Febiger, 1989.
R. Fechner and S. Mils, Tumors of the bones and joints. In: Atlas of tumor pathology, 3rd ed. Washington DC: Lippincott-Raven, 1993.
N. Moon and H. Mori, "Adamantinoma of the appendicular skeleton – updated," Clin Orthop, vol. 204, p. 215, 1986.
A. Qureshi, S. Shott, and B. Mallin, "Current trends in the management of adamantinoma of long bones. An international study," J Bone Joint Surg Am., vol. 82, pp. 1122 – 1131, 2000.
M. Campanacci, A. Giunti, and F. Bertoni, "Adamantinoma of the long bones. The experience at the Istituto ortopedico Rizzoli," Am J Surg Pathol., vol. 5, pp. 533 – 542, 1981.
M. Rock, J. Beabout, and K. Unni, "Adamantinoma," Orthopedics, vol. 6, pp. 472 – 477, 1983.
M. Maki and N. Athanasou, "Osteofibrous dysplasia and adamantinoma: Correlation of protooncogene product and matrix protein expression," Hum Pathol., vol. 35, pp. 69 – 74, 2004.
J. Bovée, L. Van Den Broek, and W. De Boer, "Expression of growth factors and their receptors in adamantinoma of long bones and the implication for its histogenesis," J Pathol., vol. 184, pp. 24 – 30, 1998.
M. Manfrini, D. Vanel, and M. De Paolis, "Imaging of vascularized fibula autograft placed inside a massive allograft in reconstruction of lower limb bone tumors," Am J Roentgenol, vol. 182, pp. 963 - 970, 2004.
S. Green, J. Jackson, and D. Wall, "Management of segmental defects by the Ilizarov intercalary bone transport method," Clin Orthop Relat Res., vol. 280, pp. 136 – 142, 1992.
A. Mavrogenis, V. Sakellariou, H. Tsibidakis, and P. Papagelopoulos, "Adamantinoma of the tibia treated with a new intramedullary diaphyseal segmental defect implant," J Int Med Res., vol. 37, pp. 1238-45, 2009.
D. Donati, M. Di Liddo, and M. Zavatta, "Massive bone allograft reconstruction in high-grade osteosarcoma," Clin Orthop Relat Res., vol. 377, pp. 186 – 194, 2000.
R. J. Thompson, A. Garg, and D. Clohisy, "Fractures in large-segment allografts," Clin Orthop Relat Res., vol. 370, pp. 227 – 235, 2000.
R. Deijkers, R. Bloem, P. Hogendoorn, J. Verlaan, H. Kroon, and A. Taminiau, "Hemicortical allograft reconstruction after resection of low-grade malignant bone tumours," J Bone Joint Surg (Br), vol. 84, pp. 1009-14, 2002.