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

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


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].


Distal Femur Deep Infection Radiolucent Line Stem Prosthesis Gastrocnemius Flap 
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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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