Reconstruction of the proximal femur with a modular resection prosthesis.
Eur J Orthop Surg Traumatol
; 26(4): 415-21, 2016 May.
Article
em En
| MEDLINE
| ID: mdl-27040404
ABSTRACT
BACKGROUND:
Various megaprostheses are currently available for reconstruction of the proximal femur after tumor resection. This study evaluates the survival and complications of a modular megaprosthesis for reconstruction of the proximal femur. MATERIALS ANDMETHODS:
We studied the medical files of 109 tumor patients (age range 16-86 years) who underwent proximal femoral reconstruction with the MRP(®) megaprosthesis from 2002 to 2011. There were 70 patients with metastases, 34 patients with bone sarcomas, and five patients with hematological malignancies; 82 were primary and 27 were revision reconstructions. Mean follow-up was 2.5 years; 31 patients had a minimum five-year follow-up. We evaluated the survival and function of the patients, and the survival and complications of the megaprostheses.RESULTS:
Survival was significantly higher for the patients with bone sarcomas compared to those with metastases and hematological malignancies. Mean MSTS functional score was similar between patients with bone sarcomas and those with hematological malignancies and metastases, and between patients with primary and those with revision reconstructions. Overall survival of the MRP(®) megaprostheses was 74 % at 5 and 9 years. Fourteen (13.6 %) major complications occurred at a mean period of 1.4 years (range 3 months to 4.5 years); these included infection (5.8 %), dislocation (3.9 %), local recurrence (2.9 %), and acetabular fracture (1 %).CONCLUSION:
MRP(®) megaprostheses are a valuable reconstruction option after tumor resection of the proximal femur.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Osteossarcoma
/
Neoplasias Femorais
Tipo de estudo:
Observational_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Eur J Orthop Surg Traumatol
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Itália