fig5

Figure 5. Proximal tibia osteosarcoma reconstructed with Repiphysis expandable endoprosthesis and muscle flap coverage. A: surgical defect and en bloc tumor resection; B: tumor specimen and Repiphysis endoprosthesis in situ; C: placement of Repiphysis implant; D, E, and F: soft tissue reconstruction with muscle flaps, proximal and distal primary closure, skin grafting and incisional wound vacuum-assisted closure