Titanium mesh cage as an alternative reconstruction method for epiphyseal-sparing tumour resections in children

J Pediatr Orthop B. 2018 Jul;27(4):350-355. doi: 10.1097/BPB.0000000000000482.


In this study, we introduced an alternative reconstruction option for epiphysis-sparing tumour resection in children. Eight patients with a malignant tumour in the diaphysis or metaphysis-diaphysis junction of a long bone underwent epiphysis-sparing intercalary resection. Reconstruction was performed using a titanium mesh cage filled with impacted cancellous bone allograft and autograft. A plate and screws were used to supplement the fixation. At the last follow-up, union was achieved in seven patients. Limb-length discrepancy occurred in three patients. Functional scores revealed a good functional outcome. This technique may be an alternative method for epiphyseal-sparing tumour resections in children.

MeSH terms

  • Adolescent
  • Bone Neoplasms / surgery*
  • Bone Transplantation / methods*
  • Child
  • Epiphyses / surgery
  • Female
  • Femur / surgery
  • Humans
  • Humerus / surgery
  • Male
  • Osteosarcoma / surgery*
  • Reconstructive Surgical Procedures / methods
  • Tibia / surgery
  • Titanium / therapeutic use*


  • Titanium