Functional results of patients treated with modular prosthetic replacement for bone tumors of the extremities

Yalnız, Erol; Çiftdemir, Mert; Memişoğlu, Serdar

doi:10.3944/aott.2008.238

Cited by 8 publications

(13 citation statements)

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“…Our results align with the literature. Tumor resection prostheses may require revision due to the young ages of OS patients, the fact that the patients continue to grow, and because the long-term use of prosthesis may cause some complications [20]. Complications were seen in cases with knee-area location as in our series [21].…”

Section: Discussionmentioning

confidence: 51%

Modular Tumor Resection Prosthesis in Osteosarcoma Treatment

Çıraklı¹,

Sezgin²,

Göçer³

et al. 2016

Ann Clin Anal Med

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Ancak stabilite, erken yük verme ve osteosentez kaygısından uzak olması nedeniyle avantajlı ve amputasyona kıyasla psikolojik olarak yüz güldürücüdür. Anahtar KelimelerOsteosarkom; Cerrahi Tedavi; Tümör Rezeksiyon Protezi; Sonuç Abstract Aim: The aim of the study is to evaluate the cases who underwent tumor resection prosthesis due to osteosarcoma. Material and Method: 14 cases who underwent tumor resection prosthesis due to osteosarcoma in our clinic between 2000 and 2012 and who had sufficient follow-ups were evaluated. The cases were examined in terms of gender, age, direction, tumor location, follow-up time, success of the treatment, complication, recurrence, and survival. The data obtained were transferred to the SPSS 15.0 program and analyzed. Normality distributions of the data were analyzed with the ShapiroWilk test. Results: 8 of the 14 cases were male, 6 were female, and the average age of the cases was 21.9±7.02. Osteosarcoma was in the distal femur in 9 (64.3%) of the patients, in the proximal tibia in 5 (35.7%) of the patients, in the right lower extremity in 5 of the patients, and in the left lower extremity in 9 of the patients. Average follow-up time was 33 months (3-144 months range). Average MSTS score was found as 81.9 (53-96 range), perfect results were taken in 11 (78.6%) patients while insufficient results were taken in 3 (21.4%) patients. As for complications, aseptic softening was observed in 3 cases, peroneal nerve paralysis was observed in 2 cases, skin necrosis was observed in 2 cases, periprostatic fracture was observed in 2 cases, prosthesis infection was observed in 1 case, and local recurrence was observed in 1 case. Except for the two cases with peroneal nerve paralysis, cases with complications recovered without any problems. The patient who developed local recurrence was lost due to lung metastasis. Discussion: Treatment of osteosarcoma through tumor resection prosthesis raises question marks due to possible complications that can affect the survival of the prosthesis in the long term. However, this treatment method is favorable in terms of stability, early load efficiency, and causing less anxiety than osteosynthesis; it is also psychologically more pleasing than amputation.

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Section: Discussionmentioning

confidence: 51%

Modular Tumor Resection Prosthesis in Osteosarcoma Treatment

Çıraklı¹,

Sezgin²,

Göçer³

et al. 2016

Ann Clin Anal Med

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“…Improvement in surgical techniques and reconstructive options has made limb salvage feasible in majority of patients with primary bone tumors who are non metastatic at presentation (21,22) . Wide resection of primary limb sarcomas is the first step in this endeavor.…”

Section: Discussionmentioning

confidence: 99%

Is Pre-Operative Angio-Embolisation an Effective Modality to Control Intraoperative Blood Loss in Extremity Bone Tumors?

Aggarwal¹

2017

JMSCR

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“…As in other skeletal parts, the movement capacity of the shoulder joint can be improved with specifically designed modular and reverse type tumor prosthesis use in the shoulder region. [1,[5][6][7] Modular tumor prostheses have now been modernized and become more useful with joint components. The modularity of these prostheses, in contrast to monoblock prostheses, allows the changing arm length to conform once again to the normal anatomical structure thanks to the different resection limits.…”

Section: Introductionmentioning

confidence: 99%

“…The modularity of these prostheses, in contrast to monoblock prostheses, allows the changing arm length to conform once again to the normal anatomical structure thanks to the different resection limits. [5,6]…”

Section: Introductionmentioning

confidence: 99%

Our Positive and Negative Deductions Regarding the Results of Tumor Prostheses after Resection of Primary and Metastatic Tumors of the Proximal Humerus.

Allahverdi¹

2019

Anatol JFM

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The aim of modular tumor prostheses for primary and metastatic tumors of the proximal humerus is to provide the maximum possible physical, psychological and social activity despite the wide resection areas. The present study aims to show the suitability of modular tumor prostheses of the shoulder joint in the early period without considering the postoperative life expectancy in patients diagnosed with a malignant tumor of the proximal humerus. Methods: In this study, a total of 53 patients were evaluated retrospectively. Our patients consisted of 32 female and 21 male patients who were diagnosed and underwent surgery at our Orthopedics and Traumatology clinics between 1980 and 2003. The 14 patients we had personally followed-up at our clinic were included in Group A, while the 39 patients who were evaluated using the data in the archives were included in Group B. The mean age of the patients was 57 years in Group A and 39 years in group B. Modular tumor prostheses were mostly used for the 53 patients in total in Group A and B, but a few patients received a tumor prosthesis made of Polyacetalharz or an isoelastic tumor prosthesis. Results: There was no sign of postoperative metastasis or local residual tumor in any of the 14 patients in Group A. Seven patients had no pain and five patients had only mild pain. None of the patients required opioids. Postoperative cranial subluxation was seen in ten patients after a mean duration of 34.5 months. Resurgery was performed only in four of 14 patients in group A. Multiple bones, or visceral/pulmonary metastases were found at the same time as the initial diagnosis in Group B patients, and these subjects died within a mean postoperative duration of six months. Nine of the 39 patients underwent resurgery. There were six patients with no pain in Group B. There was no recorded data related to pain in 25 patients. The movement limitation was significant in 13 patients and mild in two patients. Conclusion: The findings suggest that it was possible to achieve a good level of movement capacity and muscle strength although limited due to the refixation of the muscles and tendons protected during the wide intraoperative resections with modular tumor resection prosthesis implantation, despite some tolerable pain in the early period, when the results were compared with other treatment options, such as arthrodesis or amputation. It is encouraging that the elbow, forearm and hand functions were fully protected in all patients and good quality of life was ensured considering the cosmetic results, patient psychology and daily social activities.

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Functional results of patients treated with modular prosthetic replacement for bone tumors of the extremities

Abstract: Reconstruction with cemented modular endoprostheses is an appropriate surgical alternative in the treatment of large segmental defects after resection of extremity tumors, with satisfactory functional results particularly in primary tumors.

Cited by 8 publications

References 0 publications

Modular Tumor Resection Prosthesis in Osteosarcoma Treatment

Modular Tumor Resection Prosthesis in Osteosarcoma Treatment

Is Pre-Operative Angio-Embolisation an Effective Modality to Control Intraoperative Blood Loss in Extremity Bone Tumors?

Our Positive and Negative Deductions Regarding the Results of Tumor Prostheses after Resection of Primary and Metastatic Tumors of the Proximal Humerus.

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