Table 1.
Recommended solutions addressed to each problem
| Age-independent | Age-dependent | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Problems and consequent solutions of biological reconstruction | Problems and consequent solutions of endoprosthetic reconstruction | Problems related to physeal loss and consequent solutions | Problems related to partial physeal injury and consequent solutions | Problems related to radiotherapy and consequent solutions | ||||||
| Solutions for deformity/shortness | Solutions for infection | Solutions for non-union | Solutions for loosening | Solutions for restricted ROM | Solutions for infection | Solutions for shortness | Solutions for shortness | Solutions for deformity | Solutions for pelvic asymmetry | Solutions for deformity |
| Close follow-up | Allograft + polimethylmetacrilate (bone cement) with antibiotic | Stable osteosynthesis | Prosthesis without cement | Physical therapy + relaxation operations | Allograft + polimethylmetacrilate (bone cement) with antibiotic | Growing endoprosthesis | Growing endoprosthesis | Close follow-up | Compensation for shortness | Close follow-up |
| Elongation | Vascularized epiphyseal transfer (for proximal humerus) | Elongation | Elongation | |||||||
| Temporary epiphysiodesis of joint | Prosthesis + growing stem | Prosthesis + growing stem | Temporary epiphysiodesis of joint | Temporary epiphysiodesis of joint | ||||||
| Deformity correction | Deformity correction | Deformity correction | ||||||||