Limb salvage in distal tibial osteosarcoma using a custom mega prosthesis.

Abstract:

:We have assessed the oncological and functional results of limb salvage surgery using a custom-made endoprosthetic replacement in six patients (mean age 17 years) with distal tibial osteosarcoma (stage IIB). A wide margin excision was possible in three, marginal in two and contaminated in one. Skeletal reconstruction was performed using a locally designed and manufactured custom-made distal tibial and ankle replacement prosthesis. Two patients developed local recurrence and one necrosis of the flap and deep infection. In three in whom the prosthesis remained in place the mean functional score according to the rating system of the Musculoskeletal Tumour Society was 24.3/30. In carefully selected patients limb salvage with prosthetic replacement is possible for distal tibial osteosarcomas.

journal_name

Int Orthop

authors

Natarajan MV,Annamalai K,Williams S,Selvaraj R,Rajagopal TS

doi

10.1007/s002640000172

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

282-4

issue

5

eissn

0341-2695

issn

1432-5195

journal_volume

24

pub_type

杂志文章
  • Results after anterior-posterior lumbar spinal fusion: 2-5 years follow-up.

    abstract::Between 1991 and 1998, we treated 72 patients with fusion of the lumbar spine using posterior pedicle screw fixation followed by anterior retroperitoneal insertion of a titanium cage filled with autogenous bone graft. All patients had chronic low back pain after failed conservative treatment. We were able to review 54...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-004-0577-7

    authors: Niemeyer T,Bövingloh AS,Halm H,Liljenqvist U

    更新日期:2004-10-01 00:00:00

  • The functional outcome of forty-nine single-incision suture anchor repairs for distal biceps tendon ruptures at the elbow.

    abstract:PURPOSE:The objective of this retrospective study was to evaluate the functional results of distal biceps tendon repair using suture anchors via a single-incision approach. METHODS:Forty-nine patients were re-examined at a mean follow-up of 44.2 ± 32.1 months (range, 12-119 months). Subjective and objective criteria i...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-2200-2

    authors: Siebenlist S,Fischer SC,Sandmann GH,Ahrens P,Wolf P,Stöckle U,Imhoff AB,Brucker PU

    更新日期:2014-04-01 00:00:00

  • Bone morphogenetic protein and orthopaedic surgery: can we legitimate its off-label use?

    abstract:PURPOSE:Bone morphogenetic proteins (BMP) are recombinant osteoinductive proteins with their primary role being to promote bone formation. The off-label use of BMP in orthopaedic surgery has dramatically increased. However, reports of complications with BMP have emerged, and the safety of these proteins in orthopaedics...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2534-4

    authors: Courvoisier A,Sailhan F,Laffenêtre O,Obert L,French Study Group of BMP in Orthopedic Surgery.

    更新日期:2014-12-01 00:00:00

  • Effects of Kinesio taping compared to arterio-venous Impulse System™ on limb swelling and skin temperature after total knee arthroplasty.

    abstract:PURPOSE:It is an established fact that post-operative (p.o.) soft-tissue swelling and lymphoedema after total knee arthroplasty (TKA) have a major influence on the p.o. early functional outcome. Kinesio taping has a proven clinical effect in increasing lymph drainage. Despite the decades of experience gained and the as...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-016-3295-z

    authors: Windisch C,Brodt S,Röhner E,Matziolis G

    更新日期:2017-02-01 00:00:00

  • Arthroscopic radial head excision in managing elbow trauma.

    abstract:PURPOSE:This study describes a case series of 15 patients with radial head fractures who underwent radial head excision using an arthroscopic technique. METHODS:Over a four year period, 15 patients (average age 49.6 years) who had sustained a radial head or radial neck fracture underwent an arthroscopic excision of th...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-012-1667-6

    authors: Wijeratna M,Bailey KA,Pace A,Tytherleigh-Strong G,Van Rensburg L,Kent M

    更新日期:2012-12-01 00:00:00

  • Does electromagnetic-manual guided distal locking influence rotational alignment in antegrade femoral nailing?

    abstract:PURPOSE:The aim of this study was to determine whether distal locking using an electromagnetic-manual guided distal locking decreases the malrotation rate in femur fractures treated with intramedullary nailing. METHODS:A total of 113 adult patients having unilateral femoral shaft fractures treated using IM nails were ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2626-1

    authors: Ciftdemir M,Tuncel SA,Ozcan M,Copuroglu C,Erem M

    更新日期:2015-03-01 00:00:00

  • The effect of a lateral flare feature on implant stability.

    abstract::We reviewed the X-rays of 109 patients with 115 primary total hip replacements utilizing a lateral flare cementless stem to assess axial migration and stability. The average follow-up was 48.6 (24-104) months. The average subsidence at 2 years was 0.32 mm, remaining at a level below 1 mm for the duration of the follow...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-002-0355-3

    authors: Leali A,Fetto J,Insler H,Elfenbein D

    更新日期:2002-01-01 00:00:00

  • Pectoralis major transfer for the treatment of irreparable anterosuperior rotator cuff tears.

    abstract::The purpose of this study was to evaluate the outcome of subcoracoid pectoralis major transfer for the treatment of irreparable anterosuperior rotator cuff tears. This type of tear involves complete rupture of the subscapularis in combination with either the supraspinatus alone or the supraspinatus and infraspinatus. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-009-0799-9

    authors: Gavriilidis I,Kircher J,Magosch P,Lichtenberg S,Habermeyer P

    更新日期:2010-06-01 00:00:00

  • Clinical experience of Al2O3 ceramics as a surgical implant.

    abstract::The authors have treated 75 patients with various orthopaedic disorders including trauma, degenerative joint disease and tumours with ceramic surgical implants. A short account of the experience gained, together with some illustrative clinical cases is presented. Supplementary laboratory experiments have shown that Al...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00268651

    authors: Ooi Y,Suka T,Satoh Y,Shibuya K,Ohki I,Masubuchi M,Mikanagi K

    更新日期:1982-01-01 00:00:00

  • Patient reported outcomes in three hundred and twenty eight bilateral total knee replacement cases (simultaneous versus staged arthroplasty) using the Oxford Knee Score.

    abstract:PURPOSE:Despite bilateral knee replacement being frequently performed, little data is available to inform on the relative outcomes of each knee for individual patients. The purpose of this study was to compare these outcomes in a series of bilateral total knee replacements (TKRs) performed either simultaneously or at a...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-016-3122-6

    authors: Abram SG,Nicol F,Spencer SJ

    更新日期:2016-10-01 00:00:00

  • Does patient-specific instrumentation increase the risk of notching in the anterior femoral cortex in total knee arthroplasty? A comparative prospective trial.

    abstract:PURPOSE:Patient-specific instrumentation (PSI) was usually applied in total knee arthroplasty (TKA) to acquire a favourable alignment. We hypothesized that using PSI had a potential risk of notching in the anterior femoral cortex, because the femoral component may be placed in an overextension position due to the dista...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04779-4

    authors: Ke S,Ran T,He Y,Lv M,Song X,Zhou Y,Xu Y,Wang M

    更新日期:2020-12-01 00:00:00

  • Identification of silent prosthetic joint infection: preliminary report of a prospective controlled study.

    abstract:PURPOSE:We will test the hypothesis that ultrasound supported by polymerase chain reaction (PCR) could improve bacterial identification in non-infected prosthetic joint loosening. The aim was to detect bacterial species in non-infected prosthetic joint loosening using ultrasound and 16S rRNA gene sequencing. METHODS:A...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-1955-9

    authors: Bereza PL,Ekiel A,Auguściak-Duma A,Aptekorz M,Wilk I,Kusz DJ,Wojciechowski P,Martirosian G

    更新日期:2013-10-01 00:00:00

  • Replacement arthroplasty using the Charnley prosthesis in old tuberculosis of the hip.

    abstract::This report is based upon a retrospective study of a consecutive series of twenty patients who had tuberculosis of the hip in quiescent state. Two patients had only a short history but were included in this study. An interesting feature at the time of operation was that in many cases the bone showed old features of tu...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00266330

    authors: Kim YY,Ko CU,Lee SW,Kwak BM

    更新日期:1979-01-01 00:00:00

  • [Articular irrigation in arthroscopy].

    abstract::Synovial oedema is a frequent complication in arthroscopic procedures performed with normal saline as the irrigating fluid. The authors have studied the effect of saline solution, Ringer lactate, 5% Dextran and 10% Dextran in normal saline on 12 specimens of human synovial membrane. They found that 10% Dextran in norm...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:

    authors: Martinez Moreno JL,Vaquero Martin FJ

    更新日期:1986-01-01 00:00:00

  • Ion release in ceramic bearings for total hip replacement: Results from an in vitro and an in vivo study.

    abstract:INTRODUCTION:Literature on the potential release of trace elements following implantation of Zirconia-platelet toughened alumina (ZPTA) ceramic components is scant. The present study therefore analysed the in vitro and in vivo potential release of ions from ZPTA bearings. MATERIAL AND METHODS:An in vitro and in vivo s...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-017-3568-1

    authors: Kretzer JP,Mueller U,Streit MR,Kiefer H,Sonntag R,Streicher RM,Reinders J

    更新日期:2018-01-01 00:00:00

  • High glucose-induced oxidative stress promotes autophagy through mitochondrial damage in rat notochordal cells.

    abstract:PURPOSE:Diabetes mellitus is associated with an increased risk of intervertebral disc degeneration (IDD). Reactive oxygen species (ROS), oxidative stressors, play a key role in autophagy of diabetes-associated diseases. Mitochondria are known to be the main source of endogenous ROS in most mammalian cell types. The aut...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-2037-8

    authors: Park EY,Park JB

    更新日期:2013-12-01 00:00:00

  • Knee motion symmetry was not restored in patients with unilateral bi-cruciate retaining total knee arthroplasty-in vivo three-dimensional kinematic analysis.

    abstract:PURPOSE:Although unilateral total knee arthroplasty (TKA) is successful in restoring function, there are concerns in relation to asymmetric gait patterns. Bi-cruciate retaining (BCR) TKA design preserves both anterior and posterior cruciate ligaments with the potential to restore normal joint kinematics. The purpose of...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-3986-8

    authors: Arauz P,Peng Y,Kwon YM

    更新日期:2018-12-01 00:00:00

  • Variables influencing the pelvic radiological evaluation in children with developmental dysplasia of the hip managed by closed reduction: a multicentre investigation.

    abstract:PURPOSE:This study aims to evaluate (1) the probability to achieve normal pelvic radiographs in children with developmental dysplasia of the hip (DDH) treated by closed reduction and (2) the amount of time needed to achieve normal pelvic radiographs and to assess what factors influence both probability and time to achi...

    journal_title:International orthopaedics

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00264-020-04479-z

    authors: Li Y,Liu H,Guo Y,Xu H,Xun F,Liu Y,Yuan Z,Li J,Pereira B,Canavese F,Chinese Multicenter Pediatric Orthopaedic Study Group (CMPOS).

    更新日期:2020-03-01 00:00:00

  • Modified Judet's quadricepsplasty plus patellar traction for knee stiffness after femoral fracture surgery.

    abstract:BACKGROUND:To investigate the clinical effect of modified Judet quadricepsplasty (MJ) combined with patella traction designed by ourselves in the treatment of knee joint rigidity after a femoral fracture. METHODS:We retrospectively reviewed the clinical data of 21 patients with stiff knee joint after a femoral fractur...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04823-3

    authors: Shen Z,Deng Y,Peng A,Zhang Y

    更新日期:2020-09-24 00:00:00

  • Supercharging irradiated allografts with mesenchymal stem cells improves acetabular bone grafting in revision arthroplasty.

    abstract:PURPOSE:The procedure of bone allografting associated with a reinforcement device is widely used for acetabulum revision. However in absence of biologic fixation of the allograft, failure of the reconstruction may occur. We made the hypothesis that it would be possible to load these grafts with bone marrow derived mese...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-014-2285-2

    authors: Hernigou P,Pariat J,Queinnec S,Homma Y,Flouzat Lachaniette CH,Chevallier N,Rouard H

    更新日期:2014-09-01 00:00:00

  • Function and activity after minimally invasive total hip arthroplasty compared to a healthy population.

    abstract:PURPOSE:The aim of the present study was to compare the daily activity and functionality in a patient cohort 12 months after total hip arthroplasty (THA) using a direct anterior approach with a healthy non-operated control population. METHODS:Sixty-four patients who underwent THA and 59 healthy individuals (control) w...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-017-3541-z

    authors: von Rottkay E,Rackwitz L,Rudert M,Nöth U,Reichert JC

    更新日期:2018-02-01 00:00:00

  • Is etoricoxib effective in preventing heterotopic ossification after primary total hip arthroplasty?

    abstract:PURPOSE:Heterotopic ossification is a common complication after total hip arthroplasty. Non-steroidal anti-inflammatory drugs (NSAIDs) are known to prevent heterotopic ossifications effectively, however gastrointestinal complaints are reported frequently. In this study, we investigated whether etoricoxib, a selective c...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-1781-0

    authors: Brunnekreef JJ,Hoogervorst P,Ploegmakers MJ,Rijnen WH,Schreurs BW

    更新日期:2013-04-01 00:00:00

  • Results of lateral ankle ligament repair surgery in one hundred and nineteen patients: do surgical method and arthroscopy timing matter?

    abstract:PURPOSE:Ankle sprains are the most common athletic injury. One of five chronic lateral ankle instability patients will require surgery, making operative outcomes crucial. The purpose of this study is to determine if operative method influences failure and complication rates in chronic lateral ankle ligament repair surg...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-017-3617-9

    authors: Araoye I,De Cesar Netto C,Cone B,Hudson P,Sahranavard B,Shah A

    更新日期:2017-11-01 00:00:00

  • Diagnosis of periprosthetic joint infection using alpha-defensin test or multiplex-PCR: ideal diagnostic test still not found.

    abstract:PURPOSE:Diagnosing periprosthetic infection remains a challenge. Multiplex-PCR and biomarkers such as alpha-defensin are potentially useful and fast methods for detecting periprosthetic infection. This study compared these new methods with clinical assessment, conventional microbiological methods and histo-pathological...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-017-3412-7

    authors: Suda AJ,Tinelli M,Beisemann ND,Weil Y,Khoury A,Bischel OE

    更新日期:2017-07-01 00:00:00

  • Vertically unstable sacral fractures with neurological insult: outcomes of surgical decompression and reconstruction plate internal fixation.

    abstract::During a 4-year period, 32 patients with type C unstable sacral fractures were treated in our university hospital. All patients had neurological deficits as a result of their sacral fracture. The average age was 31.2 (range 22-54) years and the average Hannover Polytrauma Score (PTS) was 24 (range 19-40) points. Twelv...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-007-0468-9

    authors: Ayoub MA

    更新日期:2009-02-01 00:00:00

  • Grosse-Kempf nail combined with a Scan hip prosthesis.

    abstract::A Grosse-Kempf nail was used with a Scan femoral hip prosthesis to manage a patient who sustained a pathological fracture of the neck of the femur after the previous introduction of the interlocking nail for a similar fracture of the lower end of the femur. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00178764

    authors: Aspenberg P

    更新日期:1990-01-01 00:00:00

  • Tendon injuries induced by exercise and anabolic steroids in experimental mice.

    abstract::The purpose of this study was to examine the effect of anabolic steroid hormones and exercise training on skeletal tendons. Female mice were exercised for 1 and 10 weeks in an endurance running programme on a treadmill. The altered ultrastructure of tendons caused by simultaneously administered anabolic steroid hormon...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00266702

    authors: Michna H

    更新日期:1987-01-01 00:00:00

  • Fibula head is a useful landmark to predict the location of posterior cruciate ligament footprint prior to total knee arthroplasty.

    abstract:PURPOSE:The hypothesis of our study is that a routine tibial cut during cruciate retaining TKA may result in a partial or a total removal of the PCL footprint. Therefore providing a reliable landmark is essential to estimate the probability of PCL damage with a tibial cut and to enable the surgeon to decide pre-operati...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-2100-5

    authors: Jawhar A,Wasnik S,Scharf HP,Roehl H

    更新日期:2014-02-01 00:00:00

  • Total knee arthroplasty in the varus knee: tips and tricks.

    abstract::Varus knee deformity is very common, and it can be classified according to the severity and reducibility of the deformity. Pre-operative planning is mandatory to obtain a good result. Both clinical and radiological planning should be carefully performed, particularly focused on collateral ligament deficiency. In most ...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-018-4116-3

    authors: Rossi R,Cottino U,Bruzzone M,Dettoni F,Bonasia DE,Rosso F

    更新日期:2019-01-01 00:00:00

  • Post-operative retransfusion of unwashed filtered shed blood reduces allogenic blood demand in hip hemiarthroplasty in traumatic femoral neck fractures-a prospective randomized trial.

    abstract:PURPOSE:Patients who undergo hip hemiarthroplasty (HHA) due to traumatic femoral neck fracture frequently require red blood cell (RBC) transfusion. Although post-operative autologous blood transfusion (ABT) is well established in elective arthroplasty, its role in trauma patients remains unclear. METHODS:Two hundred t...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-016-3143-1

    authors: Starlinger J,Schmidt R,Machold W

    更新日期:2016-12-01 00:00:00