Resection and reconstruction of a massive femoral hemophilic pseudotumor.

Abstract:

:Hemophilic pseudotumor is a rare, but well-known, complication of hemophilia. We describe a 50-year-old man with mild hemophilia A, but with no previous need for Factor VIII supplementation, who presented with a pathologic fracture of the right femoral neck and shaft caused by a large hemophilic pseudotumor. Initial nonoperative therapy with factor replacement and skeletal traction resulted in radiographic evidence of fracture healing, but the patient's pain persisted. Therefore, he had a radical resection of his hemophilic pseudotumor (soft tissue component and entire femur), and reconstruction with a custom total femoral replacement. Six months after resection, the patient returned to full-time employment. Although pseudotumor formation is a well-recognized complication of hemophilia, the pseudotumor in our study is one of the largest yet described. More importantly, to our knowledge this is the first report of a pseudotumor treated by radical resection and reconstruction with a custom femoral prosthesis. We think that radical resection and reconstruction with a custom total femoral prosthesis is a valuable alternative to amputation in massive pseudotumors of the femur and soft tissues of the thigh.

journal_name

Clin Orthop Relat Res

authors

Buchowski JM,Cascio BM,Streiff MB,Frassica FJ

doi

10.1097/01.blo.0000137545.37824.b0

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

237-42

issue

430

eissn

0009-921X

issn

1528-1132

pii

00003086-200501000-00033

pub_type

杂志文章
  • Rapid recovery protocols and minimally invasive surgery help achieve high knee flexion.

    abstract::Although the primary goal of total knee arthroplasty is to relieve pain, the attainment of high flexion has emerged as an important secondary goal. Clinical pathways are evolving and focus on rapid recovery. The entire perioperative process for the patient and family, including office and hospital procedures, has been...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000238824.56024.7a

    authors: Lombardi AV Jr,Viacava AJ,Berend KR

    更新日期:2006-11-01 00:00:00

  • The effect of patient weight on the functional outcome of total knee arthroplasty.

    abstract::Overweight patients are often considered poor candidates for total knee arthroplasty. For assessment of the validity of this proscription, two-year follow-up data from 109 patients were analyzed. Hospital for Special Surgery Scores were recorded, roentgenograms were inspected for radiolucencies, and isokinetic strengt...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Smith BE,Askew MJ,Gradisar IA Jr,Gradisar JS,Lew MM

    更新日期:1992-03-01 00:00:00

  • Are PEEK-on-Ceramic Bearings an Option for Total Disc Arthroplasty? An In Vitro Tribology Study.

    abstract:BACKGROUND:Most contemporary total disc replacements (TDRs) use conventional orthopaedic bearing couples such as ultrahigh-molecular-weight polyethylene (polyethylene) and cobalt-chromium (CoCr). Cervical total disc replacements incorporating polyetheretherketone (PEEK) bearings (specifically PEEK-on-PEEK bearings) hav...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-016-5041-7

    authors: Siskey R,Ciccarelli L,Lui MK,Kurtz SM

    更新日期:2016-11-01 00:00:00

  • Kinematic considerations of the wrist.

    abstract::Mechanically the wrist is the most complex joint in the body, providing a large range of motion in the flexion-extension and radial-ulnar deviation planes. By virtue of the constraints at the radiocarpal level, strong torque may be delivered to the grasping hand for work in the grasping mode through the rotational axi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Linscheid RL

    更新日期:1986-01-01 00:00:00

  • Digital video.

    abstract::The process of digital capture, editing, and archiving video has become an important aspect of documenting arthroscopic surgery. Recording the arthroscopic findings before and after surgery is an essential part of the patient's medical record. The hardware and software has become more reasonable to purchase, but the l...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/01.blo.0000126868.90079.61

    authors: Johnson D,Johnson M

    更新日期:2004-04-01 00:00:00

  • An investigation of the digital nerves of the thumb.

    abstract::With the use of a stereoscopic microscope, observations were made on the course of the proper digital nerve of the thumb on ten upper limbs in adult cadavers. By observation from the dorsal side after removal of the bone, it was possible to clearly see the ramification of the digital nerve from the subcutaneous tissue...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Hirasawa Y,Sakakida K,Tokioka T,Ohta Y

    更新日期:1985-09-01 00:00:00

  • Biomechanics of the patellofemoral joint and its clinical relevance.

    abstract::An analysis of the patellofemoral joint based on experimental determinations of pressure distributions on the patellar cartilage and vectorial calculations is presented. The extension torque of all quadriceps muscles is similar. The force transmitted to the patella by the retinacula is small in all knee positions. Bec...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Hehne HJ

    更新日期:1990-09-01 00:00:00

  • VEGF improves skeletal muscle regeneration after acute trauma and reconstruction of the limb in a rabbit model.

    abstract:BACKGROUND:Complicated tibial fractures with severe soft tissue trauma are challenging to treat. Frequently associated acute compartment syndrome can result in scarring of muscles with impaired function. Several studies have shown a relationship between angiogenesis and more effective muscle regeneration. Vascular endo...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2456-7

    authors: Frey SP,Jansen H,Raschke MJ,Meffert RH,Ochman S

    更新日期:2012-12-01 00:00:00

  • Can selective soft tissue release and cuboid osteotomy correct neglected clubfoot?

    abstract:BACKGROUND:Neglected clubfoot in older children is characterized by a stiff, nonreducible deformity with relative elongation of the lateral column of the foot with respect to the medial column. Surgical correction often has involved a double osteotomy with elongation of the medial column and shortening of the lateral c...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-013-2977-8

    authors: Faldini C,Traina F,Di Martino A,Nanni M,Acri F

    更新日期:2013-08-01 00:00:00

  • The risk of revision after TKA is affected by previous HTO or UKA.

    abstract:BACKGROUND:High tibial osteotomy (HTO) and unicompartmental arthroplasty (UKA) are reconstructive surgeries advocated for younger patients. In case of failure or progression of osteoarthritis, they can both be converted to a total knee arthroplasty (TKA). QUESTIONS/PURPOSES:We used registry data to answer if the risks...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-014-3712-9

    authors: Robertsson O,W-Dahl A

    更新日期:2015-01-01 00:00:00

  • The fibrous frame of the deltoid muscle. Its functional and surgical relevance.

    abstract::Black lines seen on magnetic resonance imaging in the middle part of the deltoid suggest the presence of fibrous bands. Anatomic study of 30 deltoid muscles was done. Eight half-cone shaped distal fibrous structures merged together into the distal tendon of the deltoid muscle. The middle part of the deltoid muscle con...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200105000-00029

    authors: Lorne E,Gagey O,Quillard J,Hue E,Gagey N

    更新日期:2001-05-01 00:00:00

  • Reliability of the safe area for the superior gluteal nerve.

    abstract::The authors investigated the reliability of the safe area, which previously was defined to prevent injury to the superior gluteal nerve during the lateral approach to the hip, and its relation to body height. The distance between the point of entry of the superior gluteal nerve into the gluteus medius muscle and the g...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000068768.86536.7e

    authors: Eksioglu F,Uslu M,Gudemez E,Atik OS,Tekdemir I

    更新日期:2003-07-01 00:00:00

  • Bilateral predominant radial nerve crutch palsy. A case report.

    abstract::Axillary crutch palsy, although well described in the literature, is rarely seen in clinical practice. Little has been written in the contemporary orthopaedic literature. The purpose of this case report is to report on a well-documented axillary crutch palsy with bilateral, predominantly radial, nerve dysfunction that...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Poddar SB,Gitelis S,Heydemann PT,Piasecki P

    更新日期:1993-12-01 00:00:00

  • Get up, get out, get moving: an interactive tool for education at your local school.

    abstract:BACKGROUND:Childhood obesity is a growing problem in America. Orthopaedic surgeons have an opportunity to interact with communities to educate children about healthy eating and physical activity. The American Academy of Orthopedic Surgeons (AAOS) Leadership Fellows Program [1] Class of 2012 created a presentation for A...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2647-2

    authors: Weiss J,Matzkin E,Flippin M,Pallis M,Rankin M

    更新日期:2013-04-01 00:00:00

  • Operative hip arthroscopy.

    abstract::Twenty patients underwent operative arthroscopic procedures of the hip joint. All procedures were performed with the patient in the supine position on a standard fracture table using fluoroscopy through three arthroscopic portals (anterolateral, anterior paratrochanteric, and posterior paratrochanteric). The initial i...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199808000-00018

    authors: Kim SJ,Choi NH,Kim HJ

    更新日期:1998-08-01 00:00:00

  • Nonoperative treatment for lumbar spinal stenosis.

    abstract::The natural history of degenerative lumbar spinal stenosis is documented poorly. Little is known about the efficacy of nonoperative treatments. An aggressive nonoperative treatment consisting of therapeutic exercise, analgesics, and epidural steroid injections is proposed. The clinical evaluation of the patients is re...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200103000-00018

    authors: Simotas AC

    更新日期:2001-03-01 00:00:00

  • Experimental joint contracture correction with low torque--long duration repeated stretching.

    abstract::Tension is necessary to maintain and restore the mechanical properties of soft connective tissues. Conversely, reduced tension states such as produced by immobilization weaken mechanical properties and facilitate joint contracture. We assessed the effect of low torque-long duration stretching to increase the range of ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/BLO.0b013e31803212bf

    authors: Usuba M,Akai M,Shirasaki Y,Miyakawa S

    更新日期:2007-03-01 00:00:00

  • Ankle arthrodesis with an anterior tension plate.

    abstract::The incidence of complications associated with arthrodesis of the ankle has remained high, especially in wound complications and infections. A new method to achieve arthrodesis of the ankle that utilizes an anterior surgical approach and an anterior tension plate was assessed in 17 patients. This method transforms the...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Mears DC,Gordon RG,Kann SE,Kann JN

    更新日期:1991-07-01 00:00:00

  • Correlating selection criteria with subsequent performance as residents.

    abstract::The objective of this study was to determine which criteria in the residency application had the highest correlation with subsequent performance of orthopaedic residents. Data collected from the application files of 58 residents included scores on standardized tests, number of honors grades in the basic and clinical y...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200206000-00034

    authors: Dirschl DR,Dahners LE,Adams GL,Crouch JH,Wilson FC

    更新日期:2002-06-01 00:00:00

  • Correlation of a bioassay with the clinical status of patients with rheumatoid arthritis.

    abstract::Joint synovia and fluids taken from patients with various stages of rheumatoid arthritis (RA) were injected into embryonated chicken eggs, resulting in characteristic joint abnormalities ("crooked toes") in the extremities of the embryos and chicks. There was a direct correlation between the number of the induced lesi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Warren SL,Marmor L,Gerken SC,Horner HE

    更新日期:1979-10-01 00:00:00

  • The Natural History of Osteoarthritis: What Happens to the Other Hip?

    abstract:BACKGROUND:Idiopathic osteoarthritis (OA) is a common diagnosis leading to hip arthroplasty. Patients undergoing unilateral hip arthroplasty often wonder whether their other hip will follow the same path as the one that was operated on, and if so, when? There also are limited data available to predict from AP radiograp...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-016-4888-y

    authors: Amstutz HC,Le Duff MJ

    更新日期:2016-08-01 00:00:00

  • Statins and dietary fish oils improve lipid composition in bone marrow and joints.

    abstract::There have been numerous efforts to alter the lipid content of cardiovascular tissues. Although equally important, only limited information is available about musculoskeletal tissues. I characterized joint and bone marrow lipids in patients having joint replacement surgery and explored the effects of fish oils and sta...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/BLO.0b013e31802cfa9e

    authors: Pritchett JW

    更新日期:2007-03-01 00:00:00

  • Unusual orthopedic manifestations of neurofibromatosis.

    abstract::Forty-four children with neurofibromatosis were found to have three previously underdescribed conditions: thoracic lordoscoliosis, protrusio acetabuli, and monomelia neurofibromatosis. Thirty-four patients (77%) had scoliosis; of these, nine had dystrophic scoliosis (Group I, 26%), six had dystrophic lordoscoliosis (G...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Joseph KN,Bowen JR,MacEwen GD

    更新日期:1992-05-01 00:00:00

  • Peroneus longus tendon rupture as a cause of chronic lateral ankle pain.

    abstract::Rupture of the peroneus longus tendon with an associated fracture of the os peroneum is an uncommon injury, which may present as chronic lateral ankle instability. There have been only seven cases documented in the literature since 1966. A case of chronic peroneus longus tendon rupture with os peroneum fracture is pre...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/00003086-199908000-00021

    authors: Patterson MJ,Cox WK

    更新日期:1999-08-01 00:00:00

  • Highly cross-linked polyethylene in cemented THA: randomized study of 61 hips.

    abstract::Highly cross-linked polyethylene (PE) has been introduced as an alternative bearing material in total hip arthroplasty (THA) because of high wear resistance in laboratory tests but the clinical experience of this material is limited. We evaluated a highly cross-linked PE (warm irradiated adiabatic melting, absorbed do...

    journal_title:Clinical orthopaedics and related research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.blo.0000096802.78689.45

    authors: Digas G,Kärrholm J,Thanner J,Malchau H,Herberts P

    更新日期:2003-12-01 00:00:00

  • Osteoid osteoma of the hip in children.

    abstract::In 31 children with osteoid osteoma lesions about the hip ranging in age from 2 to 16 years, there was an inordinate frequency of diagnostic delay with 16 patients having symptoms for more than 12 months. The clinical features were dominated by pain, limp, restricted hip motion and thigh atrophy. Twelve patients did n...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-197501000-00006

    authors: Goldberg VM,Jacobs B

    更新日期:1975-01-01 00:00:00

  • Local control and survival from the Cooperative Osteosarcoma Study Group studies of the German Society of Pediatric Oncology and the Vienna Bone Tumor Registry.

    abstract::The use of aggressive chemotherapy undoubtedly has brought about a dramatic increase in the cure rate of osteosarcoma. The authors' investigations have increased the authors' knowledge of chemotherapy for osteosarcoma, the differential efficacy of currently used agents, and the pronounced schedule dependency and relat...

    journal_title:Clinical orthopaedics and related research

    pub_type: 临床试验,杂志文章,多中心研究,评审

    doi:

    authors: Winkler K,Bieling P,Bielack S,Delling G,Dose C,Jürgens H,Kotz R,Ritter J,Salzer-Kuntschik M

    更新日期:1991-09-01 00:00:00

  • MRI predicts ALVAL and tissue damage in metal-on-metal hip arthroplasty.

    abstract:BACKGROUND:Adverse local tissue reactions (ALTR) around metal-on-metal (MOM) hip arthroplasties are increasingly being recognized as a cause of failure. These reactions may be associated with intraoperative tissue damage and complication rates as high as 50% after revision. Although MRI can identify ALTR in MOM hips, i...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-013-2788-y

    authors: Nawabi DH,Gold S,Lyman S,Fields K,Padgett DE,Potter HG

    更新日期:2014-02-01 00:00:00

  • Tissue changes around loose prostheses. A canine model to investigate the effects of an antiinflammatory agent.

    abstract::The aseptically loosened prosthesis provided a means for investigating the in vivo and in vitro activity of the cells associated with the loosening process in seven dogs. The cells were isolated and maintained in culture for sufficient periods of time so that their biologic activity could be studied as well as the eff...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Spector M,Shortkroff S,Hsu HP,Lane N,Sledge CB,Thornhill TS

    更新日期:1990-12-01 00:00:00

  • Primary total hip arthroplasty with the AML total hip prosthesis.

    abstract::Primary total hip arthroplasty using an uncemented AML total hip prosthesis (trispiked cup and a 4/5 porous coated stem) was performed in 50 patients (52 hips). The average age of the patients at the time of surgery was 47.6 years (range, 19-68 years), and the diagnosis was osteonecrosis of the femoral head in 18 hips...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199903000-00018

    authors: Kim YH,Kim JS,Cho SH

    更新日期:1999-03-01 00:00:00