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Modular Endoprosthetic Replacement After Total Femur Resection for Malignant Bone Tumor

Faisham W.I., and Zulmi W., and Halim A.S., (2005) Modular Endoprosthetic Replacement After Total Femur Resection for Malignant Bone Tumor. Medical Journal of Malaysia, 60 (Supplement C). pp. 45-48. ISSN 0300-5283

Full text not available from this repository.

Affiliations

Universiti Sains Malaysia. School Of Medical Sciences. Dept. of Orthopaedics.Musculoskeletal Oncology Unit.
Universiti Sains Malaysia. School Of Medical Sciences. Dept. of Orthopaedics.Musculoskeletal Oncology Unit.
Universiti Sains Malaysia. School Of Medical Sciences. Dept. of Orthopaedics.Musculoskeletal Oncology Unit.

Abstract

Total femur endoprothesis is an alternative replacement for massive malignant bone tumor with intramedullary extension or skip lesion. Four patients underwent total femoral resection and replacement with megaprosthesis: three had primary malignant bone tumor and one had salvage procedure for aseptic loosening of the distal femoral replacement. Tumor-free margins were achieved in all patients with two patients required vascularized latissimus dorsi free flap cover for reconstruction of soft tissue defects. The average follow-up was 24 months (range 16-60 months). All four patients were still alive with three of them being disease-free and one survived even with the presence of lung metastasis. The functional results obtained were either excellent or good in all patients in accordance to the Musculoskeletal Tumors Society grading system.

Item Type:Journal
Keywords:Total femur endoprosthesis, Malignant bone tumor
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:6586

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2. Ward WG, Dorey F, Eckardt JJ. Total femur endoprosthetic reconstruction. Clin Orthop. 1995; 316: 195-8.

3. Ennecking WF, Dunham W, Gebhardt MD et al. A system for the functional evaluation of reconstructive procedures after surgical treatment of tumor of the musculoskeletal system. Clin Orthop. 1993; 286: 241-7.

4. Bickels J, Meller I, Henshaw RM, Malawer MM. Reconstruction of hip stability after proximal and total femur resection. Clin Orthop. 2000; 375: 218-30.

5. Cordiero PG, Neves RI, Hidalgo DA. The role of free tissue transfer following oncologic resection in the lower extremity. Ann Plast Surg. 1994; 33: 9-16.

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