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International Orthopaedics
Published in: International Orthopaedics 6/2006

01-12-2006 | Original Paper

Lower limb salvage surgery: modular endoprosthesis in bone tumour treatment

Authors: D. Orlic, M. Smerdelj, R. Kolundzic, M. Bergovec

Published in: International Orthopaedics | Issue 6/2006

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Abstract

We retrospectively analysed 90 patients who underwent “en bloc” resection and modular endoprosthesis reconstruction in the lower limbs between 1987–2003. After proximal femur resection, reconstruction was performed with a modular endoprosthesis by Howmedica (KFTR, designed by Kotz) and modular revision endoprosthesis by W. Link or Lima-Lto (Revision system, designed by Wagner). The knee joint was reconstructed with a modular endoprosthesis (Howmedica, KFTR designed by Kotz) after distal femur or proximal tibia resection. Malignant bone tumours were present in 58 patients (64.5%), benign tumours in 16 (17.8%), metastases in 8 (8.9%), tumour-like lesions in 4 (4.4 %) and non-tumour-related destruction of the femur in 4 patients (4.4%). High-grade tumours were found in the majority of malignant bone tumours (70.7%). Treatment complications, which occurred in 26 patients, were: local recurrence of the tumour, deep infection, acetabular destruction following hemiarthroplasty, recurrent dislocations of endoprosthesis, periprosthetic fracture and hardware problems. In total, 23 patients (25.6%) died due to tumours. Endoprostheses should be considered as a treatment of choice for bone tumours in the hip and knee joint region. Advances in limb salvage surgery are, and will long continue to be, a great challenge for orthopaedic oncologists of the 21st century.
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Metadata
Title
Lower limb salvage surgery: modular endoprosthesis in bone tumour treatment
Authors
D. Orlic
M. Smerdelj
R. Kolundzic
M. Bergovec
Publication date
01-12-2006
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 6/2006
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-006-0193-9

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