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].
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References
Bright R, Samarsh J, Gambill V (1983) Sterilization of human bone by irradiation; in osteochondral allografts. Boston, Toronto: Little, Brown and Co, pp 223 – 232
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 – 1628
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 – 29
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 – 219
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 – 399
Hernigou Ph, Delepine G, Goutallier D (1986) Allogreffes massives cryoconservees et sterilisees par irradiation. Revue de Chirurgie Orthop (Paris) 72: 403 – 413
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 378
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 – 394
Mankin HJ, Dopplet S, Tomford W (1983) Clinical experience with allograft implantation. The first ten years. Clin Orthop 174: 69 – 86
Ottolenghi CE (1972) Massive osteo and osteo-articular bone grafts, technic and results of 62 cases. Clin Orthop 87: 156 – 164
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© 1996 Springer-Verlag/Wien
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Delepine, G., Delepine, N., Goutallier, D. (1996). Allograft Prosthetic Reconstruction: Review of 120 Composite Prostheses (1984–1992), A Monocentric Study. In: Czitrom, A.A., Winkler, H. (eds) Orthopaedic Allograft Surgery. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6885-1_19
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DOI: https://doi.org/10.1007/978-3-7091-6885-1_19
Publisher Name: Springer, Vienna
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