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 |