{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T02:40:45Z","timestamp":1792723245525,"version":"4.5.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[1998,11,1]],"date-time":"1998-11-01T00:00:00Z","timestamp":909878400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[1998,11]]},"abstract":"<jats:p> The aim of limb-salvage surgery in malignant bone tumours in children is to restore function and eradicate local disease with as little morbidity as possible. Allografts are associated with a high rate of complications, particularly malunion at the allograft-host junction. We describe a simple technique which enhances union of allograft to host bone taking advantage of the discrepancy in size between the adult allograft and the child\u2019s bone. This involves lifting a flap of periosteum before resection from the host bone, which is then telescoped into the allograft medullary canal, which may require internal burring or splitting, for a distance of 1.5 to 2 cm and covering the bone junction with the periosteal flap. This is more stable than conventional end-to-end opposition. For each centimetre of telescoping the surface area available for bony union is increased more than three times. The periosteal flap also augments union. Additional surface fixation with a plate and screws is not necessary. <\/jats:p><jats:p> We have used this technique in nine children, in eight of whom there was complete union at a mean of 16 weeks. Delayed union, associated with generalised limb osteoporosis, occurred in one. Early mobilisation, with weight-bearing by three weeks, was possible. There was only one fracture of the allograft. <\/jats:p>","DOI":"10.1302\/0301-620x.80b6.0800994","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:51:50Z","timestamp":1519213910000},"page":"994-998","source":"Crossref","is-referenced-by-count":25,"title":["A technique for enhancing union of allograft to host bone"],"prefix":"10.1302","volume":"80-B","author":[{"given":"S. M.","family":"Kumta","sequence":"first","affiliation":[{"name":"Prince of Wales Hospital, Chinese University of Hong Kong, New Territories, Shatin, Hong Kong."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. C.","family":"Leung","sequence":"additional","affiliation":[{"name":"Prince of Wales Hospital, Chinese University of Hong Kong, New Territories, Shatin, Hong Kong."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. F.","family":"Griffith","sequence":"additional","affiliation":[{"name":"Prince of Wales Hospital, Chinese University of Hong Kong, New Territories, Shatin, Hong Kong."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. J.","family":"Roebuck","sequence":"additional","affiliation":[{"name":"Prince of Wales Hospital, Chinese University of Hong Kong, New Territories, Shatin, Hong Kong."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. T. C.","family":"Chow","sequence":"additional","affiliation":[{"name":"Prince of Wales Hospital, Chinese University of Hong Kong, New Territories, Shatin, Hong Kong."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. K","family":"Li","sequence":"additional","affiliation":[{"name":"Prince of Wales Hospital, Chinese University of Hong Kong, New Territories, Shatin, Hong Kong."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.80B6.0800994","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.80B6.0800994","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:24:10Z","timestamp":1629141850000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.80B6.0800994"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,11]]},"references-count":0,"aliases":["10.1302\/0301-620x.80b6.8982"],"journal-issue":{"issue":"6","published-print":{"date-parts":[[1998,11]]}},"alternative-id":["10.1302\/0301-620X.80B6.0800994"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.80b6.0800994","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,11]]}}}