Giants of Orthopaedic Surgery: Austin T. Moore MD

Chillag, Kim J.

doi:10.1007/s11999-016-5116-5

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…In 1952 in the Royal National Orthopaedic Hospital Sir Herbert Seddon implanted the first megaprosthesis of distal part of femur with simultaneous replacement of a knee -postsurgical fixed prosthesis of distal femur extremity and proximal tibia extremity -in a cancer-free patient suffering from bone echinococcosis. A similar type of prosthesis was used in 1954 in an 18-year-old patient with GCTB of distal femur extremity -the surgery was done by a team under the lead of Harold Jackson-Burrows and Prof John T. Scales [11,12], and it took a whole day. As no intramedullary fixation nor bone cement was known at that time, the prosthesis was settled with cortical screws, inserted through holes in flange plates that were an integral part of the prosthesis.…”

Section: History Of Bone Reconstructions In Musculoskeletal System Onmentioning

confidence: 99%

Advances in bone reconstructions after sarcoma resection

2019

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Primary malignant bone tumours, or sarcomas, are rare and represent a major diagnostic and therapeutic challenge. According to the EUROCARE database, they do not exceed 0.2% of all malignancies. According to the American Cancer Society, over 40% of primary bone tumours in adults are chondrosarcomas followed by osteosarcoma (28%), chordoma (10%) Ewing sarcoma (8%), malignant histiocytic sarcoma/fibrosarcoma (4%), and the remaining percentages is distributed among several types of rare bone tumours. In children and adolescents (< 20 years), osteosarcoma accounts for 56%, Ewing sarcoma 34% and chondrosarcoma only 6%. The best treatment results of bone sarcomas are achieved with the use of combined therapy in highly specialised centres. This combined treatment within specialised multidisciplinary teams gives the patient the greatest chance for appropriate management of their disease and increases their chances to be cured and to avoid disability. Limb sparing surgery is currently a standard in surgical treatment of bone sarcomas. This approach helps to obtain a good functional result and limits the patient's disability. The most common methods currently used in sparing surgery include modular oncology endoprostheses (megaprostheses), non invasive growing prostheses used in children, bone auto and allografts, rotationplasties, patient specific surgical implants, arthrodesis of large joints, and in some locations only radical bone resections (shoulder, pelvis). In this short review article we present historical and contemporary methods of surgical treatment of primary bone sarcomas.

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Section: History Of Bone Reconstructions In Musculoskeletal System Onmentioning

confidence: 99%

Advances in bone reconstructions after sarcoma resection

2019

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“…An important cause of clinical failure leading to surgical revision in cemented total hip arthoplasty is biological loosening by osteolysis due to aggressive osteolysis. The clinical failure such as symptomatic aseptic loosening leading to revision of arthoplasty, occur At a rate of 1% per year of follow up [4] . This study was conducted to evaluate the results of cemented total hip replacement, their complications and causes of failure to achieve the ideal results.…”

Section: Introductionmentioning

confidence: 99%

Retrospective study of 25 cases of cemented total hip replacement

Singh¹,

Rai²,

Bhagat³

et al. 2020

Int. J. Orthop. Sci.

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Background: Total hip arthroplasty (THA) has completely revolutionized the nature in which the arthritic hip is treated. This study was conducted to evaluate the results of cemented total hip replacement, their complications and causes of failure to achieve the ideal results. Materials & Methods: This study consisted of follow up of a total of 25 cases (male-20, female-5). Patients with various hip diseases treated with cemented total hip replacement were studied. Anteroposterior radiographs of bilateral hips and proximal shaft distal to tip of prosthesis and lateral radiographs were taken. In all patients, Pain, limp, absence of deformity and range of motion was recorded. Total Harris Hip Score, grading of the Harris hip score and Successful result was recorded as poor, fair, good and excellent. Results: The most common indication was idiopathic avascular necrosis of head femur 16 (64%) patients, followed by fracture neck of femur 6 (24%) patients, followed by posttraumatic osteoarthritis of hip 2 (8%) patients, followed by Post traumatic AVN of hip 1 (4%) patient. Harris hip score before surgery was in the range of 41-50 had maximum number of patients i.e. 10 (40%) patients and the mean preoperative Harris Hip Score was 44 ranging from 23-56 which following poor category as per told by the patient on follow up visits. The mean follow up was 36 months ranging from 7-76 months. The mean range of flexion at final follow up was 123.8 degrees (range 100 degrees to 140 degrees) at 1-5 years of follow up. Conclusion: Cemented total hip replacement is a safe, reproducible and excellent surgical procedure for and stage painful hip diseases. It improves the functional handicap of patients dramatically.

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