Cargando…

Cemented allograft-prosthesis composite reconstruction for the proximal femur tumor

INTRODUCTION: Cemented allograft-prosthesis composite (APC) reconstruction is one option following resection of the proximal femur tumor. However, rare studies have focused on the indications and complications. The goal of the present study was to (1) ascertain the indications for cemented APC arthr...

Descripción completa

Detalles Bibliográficos
Autores principales: Min, Li, Tang, Fan, Duan, Hong, Zhou, Yong, Zhang, Wen-li, Shi, Rui, Tu, Chong-qi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556043/
https://www.ncbi.nlm.nih.gov/pubmed/26345329
http://dx.doi.org/10.2147/OTT.S85788
_version_ 1782388294513852416
author Min, Li
Tang, Fan
Duan, Hong
Zhou, Yong
Zhang, Wen-li
Shi, Rui
Tu, Chong-qi
author_facet Min, Li
Tang, Fan
Duan, Hong
Zhou, Yong
Zhang, Wen-li
Shi, Rui
Tu, Chong-qi
author_sort Min, Li
collection PubMed
description INTRODUCTION: Cemented allograft-prosthesis composite (APC) reconstruction is one option following resection of the proximal femur tumor. However, rare studies have focused on the indications and complications. The goal of the present study was to (1) ascertain the indications for cemented APC arthroplasty in the proximal femur; (2) identify the detailed perioperative management; and (3) illustrate our experiences to avoid the complications of cemented APC. MATERIALS AND METHODS: A total 28 patients who underwent cemented APC reconstruction of the proximal femur after tumor resection were retrospectively evaluated at a median follow-up of 56 months. Clinical records and radiographs were reviewed to evaluate patients’ outcome. RESULTS: In our series, excluding three cases of death that had a short follow-up period, union occurred in 22 (88.0%) patients (range 9–18 months). Nonunion of the greater trochanter was seen in six of the 12 patients (50.0%). Eight (32.0%) hips had resorption. There were two (8.0%) hips that were observed to have asymptomatic wear of the acetabulum. The average Musculoskeletal Tumor Society (MSTS) score was 26.5 points. The average Harris Hip Score (HHS) score was 80.6 points. There were no cases of recurrence, but metastasis was found in two hips. CONCLUSIONS: Mastering indications, perioperative management, and complication prevention are all very important in the APC reconstruction after resection of the proximal femur.
format Online
Article
Text
id pubmed-4556043
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Dove Medical Press
record_format MEDLINE/PubMed
spelling pubmed-45560432015-09-04 Cemented allograft-prosthesis composite reconstruction for the proximal femur tumor Min, Li Tang, Fan Duan, Hong Zhou, Yong Zhang, Wen-li Shi, Rui Tu, Chong-qi Onco Targets Ther Original Research INTRODUCTION: Cemented allograft-prosthesis composite (APC) reconstruction is one option following resection of the proximal femur tumor. However, rare studies have focused on the indications and complications. The goal of the present study was to (1) ascertain the indications for cemented APC arthroplasty in the proximal femur; (2) identify the detailed perioperative management; and (3) illustrate our experiences to avoid the complications of cemented APC. MATERIALS AND METHODS: A total 28 patients who underwent cemented APC reconstruction of the proximal femur after tumor resection were retrospectively evaluated at a median follow-up of 56 months. Clinical records and radiographs were reviewed to evaluate patients’ outcome. RESULTS: In our series, excluding three cases of death that had a short follow-up period, union occurred in 22 (88.0%) patients (range 9–18 months). Nonunion of the greater trochanter was seen in six of the 12 patients (50.0%). Eight (32.0%) hips had resorption. There were two (8.0%) hips that were observed to have asymptomatic wear of the acetabulum. The average Musculoskeletal Tumor Society (MSTS) score was 26.5 points. The average Harris Hip Score (HHS) score was 80.6 points. There were no cases of recurrence, but metastasis was found in two hips. CONCLUSIONS: Mastering indications, perioperative management, and complication prevention are all very important in the APC reconstruction after resection of the proximal femur. Dove Medical Press 2015-08-25 /pmc/articles/PMC4556043/ /pubmed/26345329 http://dx.doi.org/10.2147/OTT.S85788 Text en © 2015 Min et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Min, Li
Tang, Fan
Duan, Hong
Zhou, Yong
Zhang, Wen-li
Shi, Rui
Tu, Chong-qi
Cemented allograft-prosthesis composite reconstruction for the proximal femur tumor
title Cemented allograft-prosthesis composite reconstruction for the proximal femur tumor
title_full Cemented allograft-prosthesis composite reconstruction for the proximal femur tumor
title_fullStr Cemented allograft-prosthesis composite reconstruction for the proximal femur tumor
title_full_unstemmed Cemented allograft-prosthesis composite reconstruction for the proximal femur tumor
title_short Cemented allograft-prosthesis composite reconstruction for the proximal femur tumor
title_sort cemented allograft-prosthesis composite reconstruction for the proximal femur tumor
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556043/
https://www.ncbi.nlm.nih.gov/pubmed/26345329
http://dx.doi.org/10.2147/OTT.S85788
work_keys_str_mv AT minli cementedallograftprosthesiscompositereconstructionfortheproximalfemurtumor
AT tangfan cementedallograftprosthesiscompositereconstructionfortheproximalfemurtumor
AT duanhong cementedallograftprosthesiscompositereconstructionfortheproximalfemurtumor
AT zhouyong cementedallograftprosthesiscompositereconstructionfortheproximalfemurtumor
AT zhangwenli cementedallograftprosthesiscompositereconstructionfortheproximalfemurtumor
AT shirui cementedallograftprosthesiscompositereconstructionfortheproximalfemurtumor
AT tuchongqi cementedallograftprosthesiscompositereconstructionfortheproximalfemurtumor