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Osteosarcoma of the Talus Treated Successfully with Limb-Sparing SurgeryA Case Report
Hirohisa Katagiri, MD, PhD1; Mitsuru Takahashi, MD, PhD1; Tatsuya Takagi, MD, PhD1; Masahiro Nakagawa, MD, PhD1
1 Divisions of Orthopaedic Oncology (H.K., M.T., and T.T.) and Plastic Surgery (M.N.), Shizuoka Cancer Center Hospital, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka 411-8777, Japan. E-mail address for H. Katagiri: h.katagiri@scchr.jp
The Journal of Bone & Joint Surgery.  2008; 90:869-874  doi:10.2106/JBJS.G.00040
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Except for multiple myeloma, osteosarcoma is the most common primary malignant bone tumor. It typically affects the metaphyseal part of the long bones, with the knee being affected in almost 50% of cases1. Osteosarcoma of the foot is rare, and almost half of the reported cases in the foot were found to have arisen from the calcaneus2,3. Osteosarcoma of the talus is very rare; to the best of our knowledge there are only two previous case reports in the literature4,5. Patients with osteosarcoma of the foot are usually not good candidates for limb-sparing surgery. To our knowledge, all patients with osteosarcoma of the talus who have been reported in the literature were managed with below-the-knee amputation2-5. We report the first case of a patient in whom osteosarcoma of the talus was successfully treated with limb-sparing surgery with ankle arthrodesis. The patient was informed that data concerning the case would be submitted for publication, and he consented.
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