RESUMO
The authors present most common complications after tumor related joint replacement. Twenty-six patients (9 females, 17 males) have been operated on (mean age 22.5 years). In 19 cases osteosarcoma was diagnosed, Ewing sarcoma in 4 and there were 3 cases of chondrosarcoma. Postoperatively, superficial skin necrosis occurred in 4 patients but healed in four weeks, full-thickness skin necrosis in 2 and in 2 cases wound infection resulted in septic loosening of endoprosthesis. The number of infections in our patients was low but caused delay of chemotherapy and need for revision of the infected joint.
Assuntos
Neoplasias Ósseas/terapia , Condrossarcoma/terapia , Prótese Articular/efeitos adversos , Doenças Musculoesqueléticas/terapia , Osteossarcoma/terapia , Sarcoma de Ewing/terapia , Adulto , Feminino , Humanos , Masculino , Necrose , Falha de Prótese , Infecções Relacionadas à Prótese/etiologia , Reoperação , Pele/patologia , Dermatopatias/etiologia , Infecção da Ferida Cirúrgica/etiologiaRESUMO
Seven cases of comminuted, unstable trochanteric fracture of the femur treated with total or partial hip arthroplasty are presented. The age of patients at operation ranged from 69 to 88 years (mean 81.3). General condition of these patients was critical, the treatment used allowed for early mobilization. One patient died 9 weeks after surgery. In remaining 6 cases good functional result has been found at mean follow-up of 17 months (range 8 to 47 months). Hip joint arthroplasty for trochanteric fracture in elderly patients in poor general state allows for early mobilization.