Abstract
Tumors involving the diaphysis of the femur may be treated with segmental resection and reconstruction allowing the native hip and knee to be spared. A variety of biologic and prosthetic reconstructive techniques have been utilized to reconstruct segmental defects of the femur following tumor resection. Choices are influenced by the type of patient and disease and also the nature of the required resection. We present a custom intercalary femoral Compress® prosthesis as an excellent option for segmental resections. Fixation is achieved through compressive osseointegration through a spindle attached to bone, and the prosthesis can be anchored to as little as 5.4 cm of bone. This makes it well suited for diaphyseal resections including very proximal or distal resections where stem fixation may not be possible [1].
In contrast to stemmed or plate fixation, the Compress device utilizes compressive osseointegration designed to avoid the complications of aseptic loosening and stress shielding associated with standard stemmed fixation. If the implant/bone junction does fail, its design also allows ease of revision with limited additional resection of bone [2].
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Morse, L.J., Fang, A.S., Johnston, J.O. (2022). Implant Reconstruction of the Femoral Diaphysis: II—Short-Segment Dynamic Compression Stem. In: Özger, H., Sim, F.H., Puri, A., Eralp, L. (eds) Orthopedic Surgical Oncology For Bone Tumors . Springer, Cham. https://doi.org/10.1007/978-3-030-73327-8_18
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DOI: https://doi.org/10.1007/978-3-030-73327-8_18
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