Literature DB >> 34025058

Survival and outcomes of modular endoprosthetic reconstruction of the proximal femur for primary and non-primary bone tumors: Single institutional results.

Charles A Gusho1, Bishir Clayton1, Nabil Mehta1, Matthew W Colman1, Steven Gitelis1, Alan T Blank1.   

Abstract

PURPOSE: This study assessed implant survival and dislocation following proximal femur tumor endoprosthetic replacement.
METHODS: Thirty-eight procedures were performed between 2005 and 2019. The cumulative incidence of implant revision was calculated with death as a competing risk.
RESULTS: The majority of endoprostheses were bipolar hemiarthroplasty (n = 33, 86.8%). The cumulative incidence of revision was 14.6% (95% CI, 3.2%-34.1%) at five years. Dislocation occurred in 7.9% (n = 3) of hips at a mean (SD) 44 ± 35.2 days.
CONCLUSIONS: Proximal femur tumor endoprosthetic replacement is a durable option that tends to outlive patients. Strict postoperative bracing may lower dislocation rates. LEVEL OF EVIDENCE: III. Retrospective Study.
© 2021 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Hip dislocation; Metastatic bone disease; Proximal femur; Tumor endoprosthesis

Year:  2021        PMID: 34025058      PMCID: PMC8134632          DOI: 10.1016/j.jor.2021.05.008

Source DB:  PubMed          Journal:  J Orthop        ISSN: 0972-978X


  28 in total

1.  Endoprosthetic reconstruction in 250 patients with sarcoma.

Authors:  Georg Gosheger; Carsten Gebert; Helmut Ahrens; Arne Streitbuerger; Winfried Winkelmann; Jendrik Hardes
Journal:  Clin Orthop Relat Res       Date:  2006-09       Impact factor: 4.176

2.  Hemiarthroplasty proximal femoral endoprostheses following tumour reconstruction: is acetabular replacement necessary?

Authors:  J D Stevenson; V S Kumar; G L Cribb; P Cool
Journal:  Bone Joint J       Date:  2018-01       Impact factor: 5.082

3.  Megaprostheses in the treatment of primary malignant and metastatic tumors in the hip region.

Authors:  R P Veth; H K Nielsen; J Oldhoff; H Schraffordt Koops; D Mehta; J W Oosterhuis; W A Kamps; L N Göeken
Journal:  J Surg Oncol       Date:  1989-03       Impact factor: 3.454

Review 4.  Failure mode classification for tumor endoprostheses: retrospective review of five institutions and a literature review.

Authors:  Eric R Henderson; John S Groundland; Elisa Pala; Jeremy A Dennis; Rebecca Wooten; David Cheong; Reinhard Windhager; Rainer I Kotz; Mario Mercuri; Philipp T Funovics; Francis J Hornicek; H Thomas Temple; Pietro Ruggieri; G Douglas Letson
Journal:  J Bone Joint Surg Am       Date:  2011-03-02       Impact factor: 5.284

5.  Endoprosthetic reconstruction for neoplasms of the proximal femur.

Authors:  Lawrence R Menendez; Elke R Ahlmann; Cyrus Kermani; Heather Gotha
Journal:  Clin Orthop Relat Res       Date:  2006-09       Impact factor: 4.176

6.  Acetabular Erosion After Bipolar Hemiarthroplasty in Proximal Femoral Replacement for Malignant Bone Tumors.

Authors:  Christoph Theil; Burkhard Möllenbeck; Georg Gosheger; Tom Schmidt-Bräkling; Dimosthenis Andreou; Marcel-Philipp Henrichs; Ralf Dieckmann
Journal:  J Arthroplasty       Date:  2019-06-13       Impact factor: 4.757

7.  Surgical management of metastatic disease of the proximal femur.

Authors:  H Hattori; J Mibe; H Matsuoka; S Nagai; K Yamamoto
Journal:  J Orthop Surg (Hong Kong)       Date:  2007-12       Impact factor: 1.118

8.  Proximal femoral replacement for metastatic bone disease.

Authors:  Mark W Manoso; Deborah A Frassica; E Steven A Lietman; Frank J Frassica
Journal:  Orthopedics       Date:  2007-05       Impact factor: 1.390

9.  The radiological evaluation of the hip joint after prosthetic arthroplasty of the proximal femur in patients with a tumour using a bipolar femoral head.

Authors:  M Drexler; Y Gortzak; A Sternheim; Y Kollender; E Amar; J Bickels
Journal:  Bone Joint J       Date:  2015-12       Impact factor: 5.082

10.  Long-term results of proximal femoral replacement for non-neoplastic disorders.

Authors:  A L Malkani; J J Settecerri; F H Sim; E Y Chao; S L Wallrichs
Journal:  J Bone Joint Surg Br       Date:  1995-05
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