Modular megaprosthesis for proximal femoral tumors

被引:40
作者
Ilyas, I [1 ]
Pant, R [1 ]
Kurar, A [1 ]
Moreau, PG [1 ]
Younge, DA [1 ]
机构
[1] King Faisal Specialist Hosp & Res Ctr, Riyadh 11211, Saudi Arabia
关键词
Osteosarcoma; Chondrosarcomas; Aseptic Loosening; Limb Salvage; Nous Avons;
D O I
10.1007/s00264-002-0335-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Fifteen patients with proximal femoral tumors had resection and limb salvage with an uncemented Kotz (HMRS) megaprosthesis. There were five osteosarcomas, four chondrosarcomas, one hemangioendothelioma, three fibrosarcomas, and two Ewing's sarcomas. The mean follow-up was 6.7 (range 3-10) years. Two patients died of causes not related to the prosthesis. The postoperative Musculoskeletal Tumor Society score (MSTS) score was 19 (range 12-26) for the remaining 13 patients. There were one aseptic loosening, two infections, and one local recurrence. The most frequent complication was hip dislocation at 20%. Reconstruction of proximal femoral tumors with a modular megaprosthesis is a good procedure, but hip instability remains a major problem.
引用
收藏
页码:170 / 173
页数:4
相关论文
共 11 条
[1]  
Bickels J, 2000, CLIN ORTHOP RELAT R, P218
[2]   A COMPARISON OF 2 SHORT INTENSIVE ADJUVANT CHEMOTHERAPY REGIMENS IN OPERABLE OSTEOSARCOMA OF LIMBS IN CHILDREN AND YOUNG-ADULTS - THE 1ST STUDY OF THE EUROPEAN OSTEOSARCOMA INTERGROUP [J].
BRAMWELL, VHC ;
BURGERS, M ;
SNEATH, R ;
SOUHAMI, R ;
VANOOSTEROM, AT ;
VOUTE, PA ;
ROUESSE, J ;
SPOONER, D ;
CRAFT, AW ;
SOMERS, R ;
PRINGLE, J ;
MALCOLM, AJ ;
VANDEREIJKEN, J ;
THOMAS, D ;
USCINSKA, B ;
MACHIN, D ;
VANGLABBEKE, M .
JOURNAL OF CLINICAL ONCOLOGY, 1992, 10 (10) :1579-1591
[3]  
ENNEKING WF, 1993, CLIN ORTHOP RELAT R, P241
[4]   RECONSTRUCTION FOR DEFECTS OF THE PROXIMAL PART OF THE FEMUR USING ALLOGRAFT ARTHROPLASTY [J].
JOFE, MH ;
GEBHARDT, MC ;
TOMFORD, WW ;
MANKIN, HJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1988, 70A (04) :507-516
[5]  
Kabukcuoglu Y, 1999, CLIN ORTHOP RELAT R, P8
[6]  
Mankin HJ, 1996, CLIN ORTHOP RELAT R, P86
[7]   Capsular replacement with synthetic mesh - Effectiveness in preventing postoperative dislocation after wide resection of proximal femoral tumors and prosthetic reconstruction [J].
Masterson, EL ;
Ferracini, R ;
Griffin, AM ;
Wunder, JS ;
Bell, RS .
JOURNAL OF ARTHROPLASTY, 1998, 13 (08) :860-866
[8]   Aseptic loosening in cemented custom-made prosthetic replacements for bone tumours of the lower limb [J].
Unwin, PS ;
Cannon, SR ;
Grimer, RJ ;
Kemp, HBS ;
Sneath, RS ;
Walker, PS .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1996, 78B (01) :5-13
[9]  
WARD WG, 1995, CLIN ORTHOP RELAT R, P195
[10]   DISLOCATIONS AFTER TOTAL HIP-ARTHROPLASTY [J].
WOO, RYG ;
MORREY, BF .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1982, 64 (09) :1295-1306