A rotating-hinge knee replacement for malignant tumors of the femur and tibia Journal Article


Authors: Kawai, A.; Healey, J. H.; Boland, P. J.; Athanasian, E. A.; Jeon, D. G.
Article Title: A rotating-hinge knee replacement for malignant tumors of the femur and tibia
Abstract: We evaluated the 2- to 7-year results of a rotating-hinge knee replacement after excision of malignant tumors of the knee joint. There were 25 distal femoral and 7 proximal tibial replacements. The 5-year prosthetic survival for distal femoral replacements was 88%, compared with 58% for proximal tibial replacements. Seven patients underwent prosthetic exchange: 1 for aseptic loosening, 2 for wound slough and perioperative infection, and 4 for articulating component failure. One patient underwent above-knee amputation owing to skin necrosis. The median functional scores at the latest follow-up were 27 by the International Society of Limb Salvage evaluation system and 80 by the Hospital for Special Surgery Knee Score system. This implant is a promising choice for joint reconstruction after excision of tumors at the knee joint.
Keywords: adolescent; adult; child; clinical article; controlled study; school child; aged; bone neoplasms; middle aged; bone graft; bone tumor; cancer surgery; endoprosthesis loosening; functional assessment; graft infection; follow up; follow-up studies; reoperation; graft survival; prosthesis; bone remodeling; skin necrosis; femur tumor; tibia; arthroplasty, replacement, knee; function; prosthesis design; prosthesis failure; complication; above knee amputation; femoral neoplasms; knee arthroplasty; aseptic loosening; knee prosthesis; humans; human; male; female; article; malignant bone tumor; rotating-hinge knee
Journal Title: Journal of Arthroplasty
Volume: 14
Issue: 2
ISSN: 0883-5403
Publisher: Churchill Livingstone  
Date Published: 1999-02-01
Start Page: 187
End Page: 196
Language: English
DOI: 10.1016/s0883-5403(99)90124-9
PUBMED: 10065725
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 16 August 2016 -- Source: Scopus
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MSK Authors
  1. Patrick J Boland
    151 Boland
  2. Akira Kawai
    15 Kawai
  3. John H Healey
    487 Healey