Advertisement

Prosthetic Replacement for Malignant Bone and Soft Tissue Tumors About the Knee: Radiological Evaluation of Tumor Prosthesis

  • Masanobu Saito
  • Akira Maruoka
  • Atumasa Uchida
  • Keiro Ono
Conference paper

Abstract

Limb salvage procedures for primary malignant bone and soft tissue tumors have become widely accepted. Recent advances in diagnostic technology, adjuvant chemotherapy, and radiotherapy have led to improvement in prognosis. Consequently, this longer life-span has increased interest in functional restoration and its durability in affected limbs. Although there are various reconstructive procedures after wide resection, such as arthrodesis, osteoarticular allograft, and prosthetic replacement, each procedure has its advantages and disadvantages, and the best among them has not yet been clearly established. Since 1981, prosthetic replacement has been the procedure of choice at Osaka University Hospital, Osaka, Japan, for limb salvage in cases of malignant bone and soft tissue tumors.

Keywords

Soft Tissue Tumor Tibial Component Limb Salvage Radiolucent Line Medullary Canal 
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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Dorr LD, Takei GK, Conaty JP (1983) Total hip arthroplasties in patients less than forty-five years old. J Bone Joint Surg [Am] 65: 474–479Google Scholar
  2. 2.
    Quill G, Gitelis S, Morton T, Piasecki P (1990) Complications associated with limb salvage for extremity sarcomas and their management. Clin Orthop 260: 242–250PubMedGoogle Scholar
  3. 3.
    Langlais F, Postel M, Aubriot JH, Blanquaert D (1987) The TCG prosthesis system. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, New York, pp 88–94Google Scholar
  4. 4.
    Sim FH, Beauchamp CP, Chao EY (1987) Reconstruction of musculoskeletal defects about the knee for tumor. Clin Orthop 221: 188–201PubMedGoogle Scholar
  5. 5.
    Enneking WF, Spanier SS, Goodman MA (1980) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop 153: 106–120PubMedGoogle Scholar
  6. 6.
    Scales JT, Sneath RS, Wright KW (1987) Design and clinical use of extending prostheses. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, New York, pp 52–61Google Scholar
  7. 7.
    Enneking WF (1987) Modification of the system for functional evaluation of surgical management of musculoskeletal tumors. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, New York, pp 626–639Google Scholar
  8. 8.
    Jones EC, Insall JN, Inglis AE, Ranawat CS (1979) Guepar knee arthroplasty results and late complications. Clin Orthop 140: 145–152PubMedGoogle Scholar
  9. 9.
    leNobel J, Patterson FP (1981) Guepar total knee prosthesis: Experience at the Vancouver General Hospital. J Bone Joint Surg [Br] 63: 257–260Google Scholar
  10. 10.
    Kotz R, Ritschl P, Trachtenbrodt J (1986) A modular femur-tibia reconstruction system. Orthopedics 9: 1639–1652PubMedGoogle Scholar
  11. 11.
    Friedlaender GE, Tross RB, Doganis AC, Kirkwood JM, Baron R (1984) Effects of chemotherapeutic agents on hone: I. Short-term methotrexate and Doxorubicin ( Adriamycin) treatment in rat model. J Bone Joint Surg [Am] 66: 602–607Google Scholar
  12. 12.
    Salzer M, Knahr K, Kotz R, Ramach W (1987) Cementless prosthetic implants for limb salvage of malignant bone tumors of the knee joint: Clinical results of three modes of anchorage. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, New York, pp 26–29Google Scholar
  13. 13.
    Scales JT, Wait ME (1987) Intramedullary fixation of custom-made prostheses with bone cement. In: Coombs R, Friedlaender G (eds) Bone tumor management. Butterworths, London, pp 123–134Google Scholar

Copyright information

© Springer Japan 1992

Authors and Affiliations

  • Masanobu Saito
  • Akira Maruoka
    • 1
  • Atumasa Uchida
  • Keiro Ono
    • 2
  1. 1.Division of Orthopaedic SurgerySouth Osaka National HospitalKawachinagano-shi 586Japan
  2. 2.Department of Orthopaedic SurgeryOsaka University Medical SchoolFukushima-ku, Osaka 553Japan

Personalised recommendations