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Segmental replacement of long bones using titanium fiber metal composite following tumor resection.

A series of 17 long bone defects following tumor resections were reconstructed using titanium fiber metal implants with adequate bone grafts. There were nine diaphyseal segmental arthroplasties and eight arthrodeses of the knee. The results were excellent in 11 and satisfactory in five, and there was one failure. Sixteen patients became fully weight-bearing. Adequate bone grafts, especially from both posterior iliac crests, and good skin coverage are essential to adequate bony reconstruction.