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Fractures,dislocation,bone infection,bone tumoure,bone

T J Mäkinen, M Abolghasemian, E Watts, S G Fichman, P Kuzyk, O A Safir, A E Gross
AIMS: It may not be possible to undertake revision total hip arthroplasty (THA) in the presence of massive loss of acetabular bone stock using standard cementless hemispherical acetabular components and metal augments, as satisfactory stability cannot always be achieved. We aimed to study the outcome using a reconstruction cage and a porous metal augment in these patients. PATIENTS AND METHODS: A total of 22 acetabular revisions in 19 patients were performed using a combination of a reconstruction cage and porous metal augments...
May 2017: Bone & Joint Journal
Grzegorz Guzik
BACKGROUND: Surgical treatment of pathological fractures of the proximal femur with intramedullary rods produces good short-term outcomes, but after some time the fixation often becomes unstable in patients with a good prognosis and a repeat surgery is required. Modular prostheses allow for better long-term outcomes. MATERIAL AND METHODS: A total of 64 surgical resection procedures for metastatic tumours of the proximal femur combined with the implantation of modular prostheses were performed at the Oncological Orthopaedics Department in Brzozów in 2010-2014...
May 5, 2016: Ortopedia, Traumatologia, Rehabilitacja
G Grammatopoulos, A Alvand, H Martin, D Whitwell, A Taylor, C L M H Gibbons
OBJECTIVES: A possible solution for the management of proximal femoral bone loss is a modular femoral endoprosthesis (EPR). Although the outcome of EPRs in tumour surgery has been well described, the outcome of their use in revision hip surgery has received less attention. The aim of this study was to describe the outcome of using EPR for non-neoplastic indications. METHODS: A retrospective review of 79 patients who underwent 80 EPRs for non-neoplastic indications was performed, including the rates of complication and survival and the mean Oxford Hip Scores (OHS), at a mean of five years post-operatively...
November 2016: Bone & Joint Journal
Qing Dong Shao, Xu Yan, Jiu Yi Sun, Tian Ming Xu
BACKGROUND: Hemipelvectomy is a major operation with significant risks including infection, prosthesis failure and fracture. This systematic review was designed to review the functional outcomes, oncologic outcomes and complications in patients who received internal hemipelvectomy and pelvic reconstruction for primary pelvic tumour. METHODS: Searches on MEDLINE, the Cochrane Library, Embase and Google Scholar were performed to locate studies involving patients receiving internal hemipelvectomy and pelvic reconstruction using a prosthesis, implant or bone graft...
July 2015: ANZ Journal of Surgery
Elmunzar Bagouri, Sandeep Deshmukh, Palaniappan Lakshmanan
Many patients present to the emergency department complaining of a sore or stiff neck and lateral flexion of the neck with contralateral rotation. Under the pressure of the breaching time and busy shifts some of the patients are discharged to the care of their general practitioners without adequate investigations. While most of the cases are due to benign causes, torticollis can be due to many congenital and acquired pathologies, some of which may need further investigation and urgent management. Atlantoaxial subluxation (AAS), tumours of the base of the skull and infections are among these causes...
May 15, 2014: BMJ Case Reports
J Hardes, T Budny, G Hauschild, M Balke, A Streitbürger, R Dieckmann, G Gosheger, H Ahrens
AIM: Today, megaendoprostheses--which were originally designed for osseous defect reconstructions in tumour surgery--are being more frequently used for extensive bone defects in revision arthroplasty. The purpose of this study was to assess the complication rate and the functional results associated with megaendoprosthesis reconstruction of the proximal femur in a non-oncological patient group. METHOD: 28 patients (average age 72; SD 10 years) with a proximal femur replacement were retrospectively (mean follow-up 43 months) evaluated regarding the complication rate...
November 2009: Zeitschrift Für Orthopädie und Unfallchirurgie
W Jones, R E Roberts
(1) Pathology of calcification and ossification.-The Leriche-Policard theories. Hyperaemia of bone causes decalcification. Reduced blood supply causes sclerosis. Diminution of vascularity of fibrous tissue causes calcification. Excess of calcium, adequate blood supply and fibroblasts give rise to bone anywhere. Subperiosteal ossification. "Myositis ossificans."(2) Radiological significance of density of bone shadows.-Decalcification of disuse, of infections, of neoplasms. Traumatic and infective scquestra. Evidence that a fragment of bone is avascular...
May 1933: Proceedings of the Royal Society of Medicine
M D Sewell, B G I Spiegelberg, S A Hanna, W J S Aston, W Bartlett, G W Blunn, L A David, S R Cannon, T W R Briggs
We undertook a retrospective review of 33 patients who underwent total femoral endoprosthetic replacement as limb salvage following excision of a malignant bone tumour. In 22 patients this was performed as a primary procedure following total femoral resection for malignant disease. Revision to a total femoral replacement was required in 11 patients following failed segmental endoprosthetic or allograft reconstruction. There were 33 patients with primary malignant tumours, and three had metastatic lesions. The mean age of the patients was 31 years (5 to 68)...
November 2009: Journal of Bone and Joint Surgery. British Volume
C R Chandrasekar, R J Grimer, S R Carter, R M Tillman, A Abudu, L Buckley
Endoprosthetic replacement of the proximal femur may be required to treat primary bone tumours or destructive metastases either with impending or established pathological fracture. Modular prostheses are available off the shelf and can be adapted to most reconstructive situations for this purpose. We have assessed the clinical and functional outcome of using the METS (Stanmore Implants Worldwide) modular tumour prosthesis to reconstruct the proximal femur in 100 consecutive patients between 2001 and 2006. We compared the results with the published series for patients managed with modular and custom-made endoprosthetic replacements for the same conditions...
January 2009: Journal of Bone and Joint Surgery. British Volume
D H Park, P K Jaiswal, W Al-Hakim, W J S Aston, R C Pollock, J A Skinner, S R Cannon, T W R Briggs
Purpose. We report a series of 58 patients with metastatic bone disease treated with resection and endoprosthetic reconstruction over a five-year period at our institution. Introduction. The recent advances in adjuvant and neoadjuvant therapy in cancer treatment have resulted in improved prognosis of patients with bone metastases. Most patients who have either an actual or impending pathological fracture should have operative stabilisation or reconstruction. Endoprosthetic reconstructions are indicated in patients with extensive bone loss, failed conventional reconstructions, and selected isolated metastases...
2007: Sarcoma
D Orlic, M Smerdelj, R Kolundzic, M Bergovec
We retrospectively analysed 90 patients who underwent "en bloc" resection and modular endoprosthesis reconstruction in the lower limbs between 1987-2003. After proximal femur resection, reconstruction was performed with a modular endoprosthesis by Howmedica (KFTR, designed by Kotz) and modular revision endoprosthesis by W. Link or Lima-Lto (Revision system, designed by Wagner). The knee joint was reconstructed with a modular endoprosthesis (Howmedica, KFTR designed by Kotz) after distal femur or proximal tibia resection...
December 2006: International Orthopaedics
V A Sokolovski, V P Voloshin, M D Aliev, V S Zubikov, S A Saravanan, D V Martynenko, D V Nisichenko, K N Strelnikov
Data from 44 patients (23 males, 21 females) with a median age of 39 (range 13-80) years who underwent total hip arthroplasty for proximal femoral tumours (1994-2004) were analysed. The histological diagnoses included 14 metastases, six osteosarcomas, six chondrosarcomas, four Ewing's sarcomas, four giant cell tumours, three malignant fibrous histiocytomas, two parosteal and two periosteal osteosarcomas, and one each primary neuroectodermal tumour, myeloid disease, and aneurysmal bone cyst. Twenty-one patients (48%) had pathological fractures...
October 2006: International Orthopaedics
Klaus-Dietrich Wolff, Sami Swaid, Dirk Nolte, Roland A Böckmann, Frank Hölzle, Christian Müller-Mai
BACKGROUND: A carbonated apatite cement (NORIAN SRS) was used as a bone mineral substitute for the calvaria or viscerocranium in 27 patients. It has the consistency of a paste and hardens at physiologic pH and body temperature due to dahllite crystallization, which has the stoichiometric formula Ca(8.8)(HPO(4))(0.7)(PO(4))(4.5)(CO(3))(0.7)(OH)(1.3). MATERIAL AND METHODS: The cement was used for posttraumatic bone defects in the orbital, periorbital or malar regions (nine patients), posttraumatic deformities of the frontal bone (six patients), tumour-dependent bony defects of the calvaria (two patients) and posttraumatic or cystic defects of the mandible (five patients)...
April 2004: Journal of Cranio-maxillo-facial Surgery
P Meadeb, P Koechlin, A Apoil
The authors have used an original model of total hip prosthesis (B.A.S.K. Prosthesis) which allows for repair of bone losses up to 13 cm. The length of the femoral device is adjustable and it articulates with a mobile cup. It has been used in 15 cases, 13 of which were bone metastases. Three died after operation. The others were able to walk and leave hospital. No dislocation or infection occurred. One prosthesis fractured after one year. The authors believe that this type of prosthesis is worth-while in cases with a limited expectation of survival...
1981: Revue de Chirurgie Orthopédique et Réparatrice de L'appareil Moteur
M Martini
The author has described in 1973 a new approach to the upper end of the humerus. This has been used in 44 cases up to the present time. It is concluded that it is worthwhile in the treatment of tumours, infections, complex fractures or dislocations. However, it should only be used in young adults. In elderly patients, several instances of stiff shoulder have been seen after this approach.
1981: Revue de Chirurgie Orthopédique et Réparatrice de L'appareil Moteur
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