Treatment of recurrent adamantinoma of the tibia by wide resection: report of three cases.

Three cases of recurrent adamantinoma of the tibia were treated by wide resection and frozen allograft reconstruction. After an average follow-up period of 4.5 years (from 3.5 to 5.5 years), all allografts were found to have united to both ends of the host bone and none of the patients suffered further recurrence. According to Enneking's criteria for functional evaluation, two patients had excellent results and one had a good result. Therefore, it appears that amputation is not the only solution for recurrent adamantinoma of the long bone. In selected cases, wide resection and allograft replacement can achieve a satisfactory result.