01-11-2009 | Original Article
Intercalary endoprosthetic reconstruction for impending pathological fractures in patients with femoral diaphyseal bone metastases
Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 8/2009
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Improvement of the life expectancy in patients with metastatic bone tumors has increased the emphasis on preserving the function of affected limb. Between 2006 and 2008, we used custom-made endoprostheses in four patients to reconstruct femoral diaphyseal defects after excision of metastatic bone tumors. The mean age at operation was 65 years (55–78) and the median follow-up 10 months (4–17). Using the Musculoskeletal tumor society (MSTS) functional scoring system, the mean MSTS functional score was 67%. Local recurrence and mechanical loosening were not occurred. We conclude that diaphyseal endoprostheses in femoral bone offer a good clinical and functional outcome.