Reconstruction of the hip after resection of periacetabular oncological lesions

Brown, Timothy S.; Salib, Christopher G.; Rose, Peter S.; Sim, Franklin H.; Lewallen, David G.; Abdel, Matthew P.

doi:10.1302/0301-620x.100b1.bjj-2017-0548.r1

Cited by 68 publications

(76 citation statements)

References 67 publications

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“…A systematic study has shown that complications of these surgical procedures, including deep infection, dislocation, nonunion of bone graft, and fracture, have a total incidence of up to 50%, among which deep infection and dislocation are the most common [ 17 ]. These complications are closely related to the large number of bone defects and soft tissue injuries caused by tumor resection [ 18 – 20 ].…”

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Preliminary proposal: a classification system for reconstruction with autologous femoral head after periacetabular tumors resection

Zheng

et al. 2021

J Orthop Surg Res

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Background Although researchers have adopted various methods for the resection and reconstruction of periacetabular tumors, the total incidence rate of complications remains high. Aiming for preserving the acetabulum and reducing the risk of complications, we applied a surgery method using tumor-free autologous femoral head to reconstruct the defective acetabulum after resection of periacetabular tumors followed by performing a conventional total hip arthroplasty (THA). Moreover, we proposed a preliminary classification system for these surgery methods. Methods We retrospectively reviewed 6 patients treated with acetabulum reconstruction combined with autologous femoral head following peri-acetabulum resection between April 2010 and May 2018. All patients were diagnosed as periacetabular tumors including chondrosarcoma (n = 5) and chondroblastoma (n = 1). Clinical data such as age, diagnosis, complications, local recurrence or metastasis, and function (Musculoskeletal Tumor Society 1993, MSTS93) were documented. The average time of follow-up was 62.5 months (range, 17 to 106 months). Results A total of 5 patients survive with average MSTS93 score of 27.8 points (range, 26–30). One patient, suffering from multiple bone metastasis prior treatment, ended up dying. One who had received radiotherapy before surgery had poor incision healing. Further, a classification system was preliminary proposed in 2 patients involving the pubis (type A) and 4 patients involving ischium (type B). Conclusions Based on the results, we preliminary proposed a classification system for reconstruction with autologous femoral head after periacetabular low malignant tumors resection. The clinical results suggested that surgery methods involving pubis (type A) and ischium (Type B) are safe and feasible. However, further researches should be conducted to verify our classification system.

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Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Preliminary proposal: a classification system for reconstruction with autologous femoral head after periacetabular tumors resection

Zheng

et al. 2021

J Orthop Surg Res

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“…13 Post-surgical infection following spine surgery occurs in 1% to 14% of patients, depending on the preoperative diagnosis and type of surgery; 14,15 similar figures are reported for a variety of surgical procedures involving implantable devices in orthopaedics and trauma. 16-18…”

Section: The Impact Of Implant-related Infections In Orthopaedics Andmentioning

confidence: 99%

Antibacterial coating of implants: are we missing something?

Cl¹,

Tsuchiya

Morelli

et al. 2019

Bone & Joint Research

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Implant-related infection is one of the leading reasons for failure in orthopaedics and trauma, and results in high social and economic costs. Various antibacterial coating technologies have proven to be safe and effective both in preclinical and clinical studies, with post-surgical implant-related infections reduced by 90% in some cases, depending on the type of coating and experimental setup used. Economic assessment may enable the cost-to-benefit profile of any given antibacterial coating to be defined, based on the expected infection rate with and without the coating, the cost of the infection management, and the cost of the coating. After reviewing the latest evidence on the available antibacterial coatings, we quantified the impact caused by delaying their large-scale application. Considering only joint arthroplasties, our calculations indicated that for an antibacterial coating, with a final user’s cost price of €600 and able to reduce post-surgical infection by 80%, each year of delay to its large-scale application would cause an estimated 35 200 new cases of post-surgical infection in Europe, equating to additional hospital costs of approximately €440 million per year. An adequate reimbursement policy for antibacterial coatings may benefit patients, healthcare systems, and related research, as could faster and more affordable regulatory pathways for the technologies still in the pipeline. This could significantly reduce the social and economic burden of implant-related infections in orthopaedics and trauma.Cite this article: C. L. Romanò, H. Tsuchiya, I. Morelli, A. G. Battaglia, L. Drago. Antibacterial coating of implants: are we missing something? Bone Joint Res 2019;8:199–206. DOI: 10.1302/2046-3758.85.BJR-2018-0316.

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“…Total Hip Arthroplasty (THA) is considered an effective treatment to improve the function of hip joint failure caused by: arthritis [1] (including osteoarthritis, rheumatoid arthritis, traumatic arthritis, and arthritis caused by other reasons, e.g., the microbleeds in joint capsule of congenital afibrinogenemia patients [2]), fractures [3], malignant bone tumors [4], and so on. However, the main complication of THA, aseptic loosening [5], has plagued both patients and clinicians for many years.…”

Section: Introductionmentioning

confidence: 99%

“…Medial-Lateral; 2 Cranial-Caudal;3 Anterior-Posterior;4 Marker-based RSA; "poorly" reliability (ICC < 0.40) was marked in bold.…”

mentioning

confidence: 99%

Model-Based Roentgen Stereophotogrammetric Analysis Using Elementary Geometrical Shape Models: Reliability of Migration Measurements for an Anatomically Shaped Femoral Stem Component

Cao

Sesselmann

et al. 2020

Applied Sciences

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Elementary Geometrical Shape (EGS) models present an alternative approach to detect in vivo migration of total hip arthroplasty using model-based Roentgen Stereophotogrammetric Analysis (mbRSA). However, its applicability for an irregular-shaped femoral stem and the reliability of this mbRSA approach has not been proven so far. The aim of this study is to assess the effect of multi-rater and an anatomically shaped femoral stem design onto resulting implant to bone migration results. The retrospective analysis included 18 clinical cases of anatomically shaped stem with 10-year RSA follow-ups. Three raters repeatedly measured all RSA follow-ups for evaluating the rater equivalence and intra-rater reliability. The results proved the equivalence between different raters for mbRSA using EGS models (mbRSA-EGS), hence it simplified the investigation of rater reliability to intra-rater reliability. In all in-plane migration measurements, mbRSA-EGS shows good intra-rater reliability and small intra-rater variability (translation: <0.15 mm; rotation: <0.18 deg). However, the reliability is worse in the out-of-plane measurements, especially the cranial-caudal rotation (intra-rater variability: 0.99–1.81 deg). Overall, mbRSA-EGS can be an alternative approach next to surface models while the in-plane migration of femoral stem (e.g., the implant subsidence for loosening prediction) have more research interested than other directions.

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Reconstruction of the hip after resection of periacetabular oncological lesions

Cited by 68 publications

References 67 publications

RETRACTED ARTICLE: Preliminary proposal: a classification system for reconstruction with autologous femoral head after periacetabular tumors resection

RETRACTED ARTICLE: Preliminary proposal: a classification system for reconstruction with autologous femoral head after periacetabular tumors resection

Antibacterial coating of implants: are we missing something?

Model-Based Roentgen Stereophotogrammetric Analysis Using Elementary Geometrical Shape Models: Reliability of Migration Measurements for an Anatomically Shaped Femoral Stem Component

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