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Allograft Prosthetic Reconstruction: Review of 120 Composite Prostheses (1984–1992), A Monocentric Study

  • G. Delepine
  • N. Delepine
  • D. Goutallier

Abstract

Adequate excision of malignant bone tumors often results in a large osteoarticular defect which needs to be suitably replaced in order to restore a functional limb. The lost bone can be replaced with a massive prosthesis, but the extensive loss of muscle attachments increases stress at the interface between the bone and the prosthesis and reduces the range of active movement. Unless a modular prosthesis is used, it is difficult to adapt the size of a custom-built prosthesis implant during surgery. For these reasons, replacement with a bone graft is now preferred in many situations in spite of the risk of infection, nonunion, secondary fracture and resorption when immunodepressive chemotherapy and/or high dose radiotherapy are used [2, 3, 9, 10].

Keywords

Distal Femur Deep Infection Radiolucent Line Stem Prosthesis Gastrocnemius Flap 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Bright R, Samarsh J, Gambill V (1983) Sterilization of human bone by irradiation; in osteochondral allografts. Boston, Toronto: Little, Brown and Co, pp 223 – 232Google Scholar
  2. 2.
    Brooks DB, Heiple KG, Herndon CH, Powell AE (1963) Immunological factors in homogeneous bone transplants. Effect of various methods of preparation and irradiation on antigenicity. J Bone Joint Surg (Am) 45: 1617 – 1628Google Scholar
  3. 3.
    Delepine G, Delepine N (1988) Resultats preliminairos de 79 allogreffes osseuses massives dans le traitement conservateur des tumeurs malignes de l’adulte et de Tenfant. Int Orthop (SICOT) 12: 21 – 29CrossRefGoogle Scholar
  4. 4.
    Delepine G, Delepine N (1985) Titanium new prostheses combined with bone graft. In: Coombs R, Friedlander G (eds) Bone tumour management. London: Butterworths, pp 211 – 219Google Scholar
  5. 5.
    Eckardi JJ, Eilber FR, Mirra JM (1987) Kinematic rotating hinge knee-distal femoral replacement. In: Ennecking WF (ed) Limb salvage in musculoskeletal oncology. New York: Churchill Livingstone, pp 392 – 399Google Scholar
  6. 6.
    Hernigou Ph, Delepine G, Goutallier D (1986) Allogreffes massives cryoconservees et sterilisees par irradiation. Revue de Chirurgie Orthop (Paris) 72: 403 – 413Google Scholar
  7. 7.
    Kaufer H, Matthews JS, Sonstegard DA (1976/1978) Total knee loosening A.A.O.S. symposium on the reconstructive surgery of the knee. Rochester, New York, May 1976, St. Louis C.V. Mosby Cie 1978, p 378Google Scholar
  8. 8.
    Langlais F, Delepine G, Dubousset JF, et al (1991) Composite prostheses in malignant tumors. Rationale and preliminary results of 42 cases. In: Langlais F (ed) Limb salvage. Berlin: Springer, pp 387 – 394Google Scholar
  9. 9.
    Mankin HJ, Dopplet S, Tomford W (1983) Clinical experience with allograft implantation. The first ten years. Clin Orthop 174: 69 – 86PubMedGoogle Scholar
  10. 10.
    Ottolenghi CE (1972) Massive osteo and osteo-articular bone grafts, technic and results of 62 cases. Clin Orthop 87: 156 – 164PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1996

Authors and Affiliations

  • G. Delepine
    • 1
    • 3
  • N. Delepine
    • 2
  • D. Goutallier
    • 1
  1. 1.Service d’OrthopédieHôpital Henri MondorCréteilFrance
  2. 2.Service d’Oncologie PédiatriqueHôpital Robert DebréParisFrance
  3. 3.DrancyFrance

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