{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T03:46:30Z","timestamp":1791863190818,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The proximal tibia is a common location for bone tumors. Two contemporary reconstruction techniques for limb salvage are endoprosthetic replacement (EPR) and allograft\u2010prosthesis composite (APC). This study aimed to compare the long\u2010term oncologic and functional outcomes of EPR and APC reconstructions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010eight (19 APC and 19 EPR) patients underwent oncologic proximal tibia resection and reconstruction were reviewed. Patients undergoing APC reconstruction were younger than the EPR group (31 vs. 44 years,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049), and patients in the EPR group were more likely to have a diagnosis of metastatic disease (32% vs. 0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For all patients, the 10\u2010year disease\u2010specific survival was 63%. With death a competing risk, there was no difference in the 10\u2010year cumulative risk of failure (41% vs. 26%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.171) or amputation (11% vs. 19%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.690) between APC or EPR. There was no difference comparing EPR to APC in the proportion of patients with an extensor lag &gt;\u200910\u00b0 (42% vs. 26%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.495) or 10\u2010year knee society scores (85 vs. 85,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.710).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>EPR and APC have a similar complication profile and functional outcomes following proximal tibial resection and reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70285","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T10:43:20Z","timestamp":1778064200000},"page":"197-202","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Proximal Tibial Endoprosthetic and Allograft\u2010Prosthetic Reconstruction"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2681-964X","authenticated-orcid":false,"given":"Marisa N.","family":"Ulrich","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine E.","family":"Mallett","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel E.","family":"Broida","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikaela H.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Zabtani","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0390-1018","authenticated-orcid":false,"given":"Matthew T.","family":"Houdek","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"issue":"2","key":"e_1_2_7_2_1","first-page":"92","article-title":"Epidemiology and Classification of Bone Tumors","volume":"9","author":"Franchi A.","year":"2012","journal-title":"Clinical Cases in Mineral and Bone Metabolism"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198708000-00022"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31637-0"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.81B3.0810488"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-003-0484-3"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.39.BJO-2022-0069.R1"},{"issue":"270","key":"e_1_2_7_8_1","first-page":"197","article-title":"Allograft Prosthetic Composite Arthroplasty for Osteosarcoma and Other Aggressive Bone Tumors","author":"Gitelis S.","year":"1991","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.1076"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-1186-y"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000806"},{"issue":"3","key":"e_1_2_7_12_1","first-page":"373","article-title":"Arthroplasty With a Composite of An Allograft and a Prosthesis for Knees With Severe Deficiency of Bone","volume":"77","author":"Harris A. 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