Published in:
01-10-2015 | Review Article
Fractures in bone tumour prosthesis
Authors:
Andrea Piccioli, Barbara Rossi, Federico Maria Sacchetti, Maria Silvia Spinelli, Alberto Di Martino
Published in:
International Orthopaedics
|
Issue 10/2015
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Abstract
Purpose
The aim of the present narrative review is to report the different aspects related to the fractures around tumour prosthetic implants in terms of technical and medical issues.
Methods
A non systematic literature review on the topic was performed.
Results
Given the increased rate of limb salvage procedures and megaprostheses implanted for bone tumours, the increased number of osteoporotic periprosthetic fractures, and the burden of revision arthroplasty, the number of surgeries using endoprosthetic implants is likely to increase in the near future. Surgeons will face more frequently the complications related to tumour endoprosthetic implant. Endoprosthetic reconstruction has a higher risk of intra-operative and post-operative complications compared to conventional prosthetic replacement.
Conclusions
Very rare reports and recommendations are available in literature regarding the treatment of periprosthetic fractures after megaprosthesis, and there is currently no consensus about which should be the standard management for periprosthetic fractures in this population of patients.