Summary
We analyzed 84 hips in 82 patients with proximal femur prosthetic replacement as a reconstructive procedure after tumor resection. Forty-nine patients had primary disease while 37 patients had metastases. The mean follow-up time was 30.4 months in all patients; the median survival was 79 months for primary cases and 9 months for metastatic cases. The most common surgical indication was tumor size and position in primary cases and pathological fractures in metastatic cases. Nine cases had primary tumor recurrence. Overall functional scores were good and excellent in 54.7%, while only one patient required revision for femoral loosening. There were radiographic lucencies around 10 of 22 acetabular components at 5 years. Implant-related osteopenia was seen in 31 of 72 assessable femurs. There is a definite role for bipolar implants in both primary and metastatic disease.
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References
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© 1989 Springer-Verlag Tokyo
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Khong, KS., Chao, E.Y.S., Sim, F.H. (1989). Long-Term Performance of Custom Prosthetic Replacement for Neoplastic Disease of the Proximal Femur. In: Yamamuro, T. (eds) New Developments for Limb Salvage in Musculoskeletal Tumors. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68072-7_59
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DOI: https://doi.org/10.1007/978-4-431-68072-7_59
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68074-1
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