| The use of a femoral revision stem in the treatment of primary or secondary bone tumours of the proximal femur: a prospective study of 31 cases. | |
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MedLine Citation:
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PMID: 20884984 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Endoprosthetic reconstruction following resection of 31 tumours of the proximal femur in 30 patients was performed using a Wagner SL femoral revision stem. The mean follow-up was 25.6 months (0.6 to 130.0). Of the 28 patients with a metastasis, 27 died within a mean follow-up period of 18.1 months (0.6 to 56.3) after the operation, and the remaining patient was excluded from the study 44.4 months post-operatively when the stem was removed. The two patients with primary bone tumours were still alive at the latest follow-up of 81.0 and 130.0 months, respectively. One stem only was removed for suspected low-grade infection 44.4 months post-operatively. The worst-case survival rate with removal of the stem for any cause and/or loss to follow-up was 80.0% (95% confidence interval 44.9 to 100) at 130.0 months. The mean Karnofsky index increased from 44.2% (20% to 70%) pre-operatively to 59.7% (0% to 100%) post-operatively, and the mean Merle d'Aubigné score improved from 4.5 (0 to 15) to 12.0 (0 to 18). The mean post-operative Musculoskeletal Tumour Society score was 62.4% (3.3% to 100%). The Wagner SL femoral revision stem offers an alternative to special tumour prostheses for the treatment of primary and secondary tumours of the proximal femur. The mid-term results are very promising, but long-term experience is necessary. |
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Authors:
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O E Bischel; P M Böhm |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. British volume Volume: 92 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-04 Completed Date: 2010-11-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
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Languages: eng Pagination: 1435-41 Citation Subset: AIM; IM |
Affiliation:
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Orthopaedic University Hospital, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany. oliver-bischel@med.uniheidelberg.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Arthroplasty, Replacement, Hip / adverse effects, instrumentation, methods* Female Femoral Neoplasms / radiography, surgery* Hip Joint / physiopathology, radiography Hip Prosthesis* Humans Male Middle Aged Prospective Studies Prosthesis Design Recovery of Function Reoperation / methods Survival Analysis Tomography, X-Ray Computed Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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