Compressive osseointegration of tibial implants in primary cancer reconstruction.

Abstract:

UNLABELLED:Compressive osseointegration technology, which provides immediate, mechanically compliant endoprosthetic fixation, has been adapted for massive proximal tibial reconstructions in an attempt to avoid aseptic failure encountered with conventional stems. A retrospective review of 16 patients with resected tumors was undertaken to determine whether compressive osseointegration can provide durable anchorage of tibial implants. Medical records, radiographs, and clinical examinations were reviewed to assess surgical, local disease control, and prosthetic outcomes. The average age was 18 years (range, 12-42 years). Diagnoses included osteosarcoma (12), Ewing sarcoma (two), chondrosarcoma (one), and undifferentiated sarcoma (one). Minimum followup was 2 years (mean, 4.5 years; range, 2-10.3 years); no patient was lost to followup. There were no local recurrences. Four patients developed metastatic disease; one patient died of his primary tumor, and another died from a chemotherapy-related malignancy. Complications included one early deep infection that ultimately resulted in prosthetic loosening and the need for an above-knee amputation. There were two late deep infections; prosthetic retention was achieved with débridement and antibiotics. One patient developed aseptic loosening and underwent revision; the other 15 implants provided stable osseointegration at last followup. Compressive osseointegration technology can thus achieve acceptable short-term endoprosthetic fixation results and may reduce the risk of aseptic loosening reported with conventional tibial stems. LEVEL OF EVIDENCE:Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

journal_name

Clin Orthop Relat Res

authors

O'Donnell RJ

doi

10.1007/s11999-009-0986-4

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

2807-12

issue

11

eissn

0009-921X

issn

1528-1132

journal_volume

467

pub_type

杂志文章
  • A study of function and residual joint stiffness after functional bracing of tibial shaft fractures.

    abstract::Ninety-eight diaphyseal tibial fractures were treated with custom made functional braces in 97 patients older than 14 years of age. The average follow-up period was 1.86 years, and 53 patients had more than two years' evaluation (average, 2.83 years). The majority of the patients did not have full range of movement in...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Pun WK,Chow SP,Fang D,Ip FK,Leong JC,Ng C

    更新日期:1991-06-01 00:00:00

  • Human genetic insights into skeletal development, growth, and homeostasis.

    abstract::This current study describes how human genetic approaches are used to identify and understand the roles of genes and their protein products, during skeletal development, growth, and homeostasis. Searches for the genes responsible for brachydactyly, symphalangism, spondyloepiphyseal dysplasia, and camptodactyly-arthrop...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/00003086-200010001-00006

    authors: Warman ML

    更新日期:2000-10-01 00:00:00

  • Surgical implications of biomechanics of the foot and ankle.

    abstract::Because of the nature of the alignment the joints of the lower extremity, any significant loss of alignment or function will place increased stress on the remaining joints. An ankle arthrodesis must be carefully aligned into slight valgus and neutral dorsiflexion, plantar flexion and the same degree of external rotati...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Mann RA

    更新日期:1980-01-01 00:00:00

  • Varus derotational osteotomy of the femur in cerebral palsy.

    abstract::Varus derotational osteotomy of the femur is designed to correct coxa valga and femoral anteversion which contribute to progressive hip subluxation and dislocation in certain cases of cerebral palsy. By the application of a careful preoperative evaluation, vigorous postoperative rehabilitation and treatment of complic...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Eilert RE,MacEwen GD

    更新日期:1977-06-01 00:00:00

  • The global burden of musculoskeletal injuries: challenges and solutions.

    abstract::Musculoskeletal injuries are a major public health problem globally, contributing a large burden of disability and suffering. This burden could be considerably lowered by implementation of affordable and sustainable strategies to strengthen orthopaedic trauma care, especially in low- and middle-income countries. This ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1007/s11999-008-0416-z

    authors: Mock C,Cherian MN

    更新日期:2008-10-01 00:00:00

  • Surgeon Personal Protection: An Underappreciated Benefit of Positive-pressure Exhaust Suits.

    abstract:BACKGROUND:Positive-pressure exhaust suits cost more than standard surgical gowns, and recent evidence suggests that they do not decrease infection risk. As a result, some hospitals and surgeons have abandoned positive-pressure exhaust suits in favor of less expensive alternatives. We propose that in addition to their ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999.0000000000000253

    authors: Makovicka JL,Bingham JS,Patel KA,Young SW,Beauchamp CP,Spangehl MJ

    更新日期:2018-06-01 00:00:00

  • Cell-based meniscal tissue engineering: a case for synoviocytes.

    abstract:BACKGROUND:Avascular meniscal injuries are largely incapable of healing; the most common treatment remains partial meniscectomy despite the risk of subsequent osteoarthritis. Meniscal responses to injury are partially mediated through synovial activity and strategies have been investigated to encourage healing through ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1007/s11999-011-1824-z

    authors: Fox DB,Warnock JJ

    更新日期:2011-10-01 00:00:00

  • Heat generated by knee prostheses.

    abstract::Temperature sensors were placed in 50 knees in 25 patients who had one or both joints replaced. Temperature recordings were made before walking, after walking, and after cycling. The heat generated in healthy, arthritic, and replaced knees was measured. The knee replacements were done using eight different prostheses....

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000183739.50869.bb

    authors: Pritchett JW

    更新日期:2006-01-01 00:00:00

  • Evaluation and classification of shoulder instability. With special reference to examination under anesthesia.

    abstract::Increasing knowledge of instability in the shoulder has created a more complex evaluation sequence. The history continues to be important. Many physical examination maneuvers are available to further define the problem. Routine roentgenographic examination has been extended to include views specifically designed to de...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Cofield RH,Irving JF

    更新日期:1987-10-01 00:00:00

  • The effect of plantar fasciitis on vertical foot-ground reaction force.

    abstract::Despite the implication that mechanical overload is fundamental to the development of plantar fasciitis, gait analysis has revealed inconsistent findings regarding its effect on lower limb loading. The aim of the current study was to evaluate the regional vertical ground reaction force in patients with and without pla...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000057989.41099.d8

    authors: Wearing SC,Smeathers JE,Urry SR

    更新日期:2003-04-01 00:00:00

  • The results of revision total knee arthroplasty.

    abstract::The results of 65 consecutive revision total knee arthroplasties performed for mechanical failure were reviewed. Fifty-nine of the knees were followed for an average of five years (range, 2-10 years). The types of implants used included: total condylar, posterior stabilized, total condylar III, and the kinematic rotat...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Goldberg VM,Figgie MP,Figgie HE 3rd,Sobel M

    更新日期:1988-01-01 00:00:00

  • The natural course of arthrosis of the knee.

    abstract::The aim of this study was to describe the course of untreated or conservatively treated arthrosis of the knee joint. Of 265 patients presenting with knee pain who had weightbearing radiographs taken between 1970 and 1973, 132 (33 men and 99 women) responded to and participated in a clinical followup 20 years later usi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199707000-00019

    authors: Sahlström A,Johnell O,Redlund-Johnell I

    更新日期:1997-07-01 00:00:00

  • Medical imaging and registration in computer assisted surgery.

    abstract::Imaging, sensing, and computing technologies that are being introduced to aid in the planning and execution of surgical procedures are providing orthopaedic surgeons with a powerful new set of tools for improving clinical accuracy, reliability, and patient outcomes while reducing costs and operating times. Current com...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199809000-00004

    authors: Simon DA,Lavallée S

    更新日期:1998-09-01 00:00:00

  • Spinal cord compression secondary to kyphosis associated with radiation therapy for metastatic disease.

    abstract::Three patients were treated for pathologic fractures of the thoracolumbar spine causing progressive neurologic deficit. An anterior decompression with partial removal of the diseased vertebra was performed with improvement of neurologic function in each patient. Active tumor was not found, but necrotic bone with colla...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Lord CF,Herndon JH

    更新日期:1986-09-01 00:00:00

  • The results of surgical repair of acute tears of the posterior cruciate ligament.

    abstract::In 20 patients, the torn posterior cruciate ligament (PCL) was repaired without reinforcement within two weeks after injury. Fourteen patients had a midsubstance tear, and in six the ligament was avulsed from the femur without bone. There were 11 isolated and nine combined injuries. The follow-up period ranged from tw...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Pournaras J,Symeonides PP

    更新日期:1991-06-01 00:00:00

  • A special guide for insertion of multiple pins for fracture of the hip: experience with 200 cases.

    abstract::Two hundred cases of intracapsular femoral neck fractures have been treated with a multiple parallel pin technique similar to that originated by Austin Moore. The technique employs a personally designed guide which facilitates insertion of multiple parallel pins. The fixation obtained satisfactorily resists shear stre...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Modny MT,Kaiser AJ

    更新日期:1978-11-01 00:00:00

  • Implant Design Variations in Reverse Total Shoulder Arthroplasty Influence the Required Deltoid Force and Resultant Joint Load.

    abstract:BACKGROUND:Reverse total shoulder arthroplasty (RTSA) is widely used; however, the effects of RTSA geometric parameters on joint and muscle loading, which strongly influence implant survivorship and long-term function, are not well understood. By investigating these parameters, it should be possible to objectively opti...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-015-4526-0

    authors: Giles JW,Langohr GD,Johnson JA,Athwal GS

    更新日期:2015-11-01 00:00:00

  • Engineered cartilage maturation regulates cytokine production and interleukin-1β response.

    abstract:BACKGROUND:Because the injured joint has an actively inflammatory environment, the survival and repair potential of cartilage grafts may be influenced by inflammatory processes. Understanding the interactions of those processes with the graft may lead to concepts for pharmacologic or surgical solutions allowing improve...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-011-1826-x

    authors: Francioli S,Cavallo C,Grigolo B,Martin I,Barbero A

    更新日期:2011-10-01 00:00:00

  • Corticosteroid Injections Give Small and Transient Pain Relief in Rotator Cuff Tendinosis: A Meta-analysis.

    abstract:BACKGROUND:The ability of injection of corticosteroids into the subacromial space to relieve pain ascribed to rotator cuff tendinosis is debated. The number of patients who have an injection before one gets relief beyond what a placebo provides is uncertain. QUESTIONS/PURPOSES:We asked: (1) Do corticosteroid injection...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11999-016-5002-1

    authors: Mohamadi A,Chan JJ,Claessen FM,Ring D,Chen NC

    更新日期:2017-01-01 00:00:00

  • Performance of a sterile meniscal allograft in an ovine model.

    abstract::Meniscus transplantation is indicated for persistent pain in a meniscectomized knee. Currently, grafts are prepared aseptically, which provides limited protection against donor-derived infection. The performance of a novel, sterilized meniscus was compared with an aseptically prepared one in an experimental model. Twe...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-008-0567-y

    authors: McNickle AG,Wang VM,Shewman EF,Cole BJ,Williams JM

    更新日期:2009-07-01 00:00:00

  • Tissue engineered cartilage repair using cryopreserved and noncryopreserved chondrocytes.

    abstract::The objective of this study was to reconstruct full thickness cartilage defects in rabbit knees with in vitro engineered cartilage tissue based on noncryopreserved and cryopreserved chondrocytes in polymer fleece scaffolds. Osteochondral defects in rabbits were filled with polymer cylinders with noncryopreserved or cr...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200009000-00035

    authors: Perka C,Sittinger M,Schultz O,Spitzer RS,Schlenzka D,Burmester GR

    更新日期:2000-09-01 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

  • Total hip revision arthroplasty: does sepsis influence the results?

    abstract::The results of revision total hip arthroplasty, with or without sepsis, are compared in a review of the recent literature. In 661 total hip revisions without sepsis, there is an overall 54% excellent/good/satisfactory rate and a 12% infection rate. Of 1063 total hip revisions in the presence of or after sepsis, there ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: James ET,Hunter GA,Cameron HU

    更新日期:1982-10-01 00:00:00

  • Extensor fasciotomy for tennis elbow: a long-term follow-up study.

    abstract::In 37 of 43 cases (86%) the late results of fasciotomy for chronic lateral epicondylitis were excellent or good. The initial result was maintained for an average of 8.0 years. The procedure is simple and morbidity is minimal. Patient selection and technical factors appeared to account for the failures. ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Posch JN,Goldberg VM,Larrey R

    更新日期:1978-09-01 00:00:00

  • Rapid diaphyseal destruction. An unusual osseous manifestation of chronic granulocytic leukemia.

    abstract::A patient with chronic granulocytic leukemia developed an unusual rapidly progressive mid-diaphyseal femoral lesion. Differentiating this myeloblastic lesion from other round cell tumors is most reliably done by a Wright-Giemsa stained touch preparation. Prompt palliative therapy with long bone stabilization permitted...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Spengler DM,Leiberg OU,Bailey RW

    更新日期:1976-03-01 00:00:00

  • Does Curve Regression Occur During Underarm Bracing in Patients with Adolescent Idiopathic Scoliosis?

    abstract:BACKGROUND:Successful brace treatment entails good control of scoliosis with avoidance of surgery. However, achieving curve regression may be an even better radiological result than prevention of curve progression for patients with adolescent idiopathic scoliosis. Vertebral remodeling may occur with well-fitted braces....

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/CORR.0000000000000989

    authors: Cheung JPY,Cheung PWH,Yeng WC,Chan LCK

    更新日期:2020-02-01 00:00:00

  • Biomechanical study of tibialis anterior tendon transfer.

    abstract::The tibialis anterior tendon transfer has been used in the treatment of recurrent congenital clubfoot and paralytic equinovarus foot deformities in cerebral palsy. This study attempts to determine the optimal site of tibialis anterior tendon insertion for ankle and foot motion and to compare the split and whole tendon...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199804000-00031

    authors: Hui JH,Goh JC,Lee EH

    更新日期:1998-04-01 00:00:00

  • Nonoperative treatment of an os peroneum fracture in a high-level athlete: a case report.

    abstract:BACKGROUND:The os peroneum is a sesamoid bone in the peroneus longus tendon. Fractures of the os peroneum are rare. Some authors recommend surgery for active patients. CASE DESCRIPTION:A 41-year-old male professional tennis coach sustained a minimally displaced fracture of the os peroneum. He was treated with restrict...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1007/s11999-011-1812-3

    authors: Smith JT,Johnson AH,Heckman JD

    更新日期:2011-05-01 00:00:00

  • The synthetic processes of articular cartilage.

    abstract::The cells of cartilage are constantly remodeling the matrix in which they are suspended. The stimulus to initiate remodeling is probably the chondrocyte's response to physical and or chemical changes in the environment. Heat, pressure, friction, load, pH, and growth are examples of such factors, which, if altered, wou...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Treadwell BV,Mankin HJ

    更新日期:1986-12-01 00:00:00

  • Effects of pulsed electromagnetic fields on human osteoblastlike cells (MG-63): a pilot study.

    abstract:BACKGROUND:Although pulsed electromagnetic fields (PEMFs) are used to treat delayed unions and nonunions, their mechanisms of action are not completely clear. However, PEMFs are known to affect the expression of certain genes. QUESTIONS/PURPOSES:We asked (1) whether PEMFs affect gene expression in human osteoblastlike...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-010-1341-5

    authors: Sollazzo V,Palmieri A,Pezzetti F,Massari L,Carinci F

    更新日期:2010-08-01 00:00:00