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Archives of orthopaedic and traumatic surgery

, Volume 102, Issue 4, pp 260–263 | Cite as

Artificial fusion of the knee joint with intramedullary nail and acrylic cementation following radical excision for tumor

  • B. M. Persson
  • A. Rydholm
Clinical and Experimental Forum

Summary

Extensive local excisions of skeletal tumors in the knee region create reconstruction problems with several alternative solutions. Custom-made endoprostheses now compete with joint homografts and fusion with autogenous bone-grafts. Artificial fusion utilizing an extra long Küntscher-nail and acrylic cement as a spacer is a fourth possibility with the advantages of immediate ambulation and weight-bearing, here presented in two cases. The expected disadvantages of loosening in long time survivors can be taken care of using one of the above-mentioned alternatives. This revision can be made after completion of adjunctive chemotherapy or later when called for by the occurrence of pain or instability.

Keywords

Public Health Time Survivor Knee Joint Cementation Local Excision 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Zusammenfassung

Bei Knochentumoren in der Knieregion ergibt sich aus einer ausgedehnten lokalen Ausräumung das Problem der knöchernen Wiederherstellung. Es bestehen verschiedene Lösungsmöglichkeiten. Nach Maß angefertigte Prothesen, homologe Gelenkplastiken und Arthrodesen mit autologem Knochengewebe stellen zu diskutierende Alternativen dar. Die Operation zur Arthrodese unter Verwendung eines langen Küntschernagels und unter Ausfüllung des Defektes mit Knochenzement stellt eine weitere Möglichkeit dar mit dem Vorteil einer frühzeitigen Belastung und ambulanten Betreuung. Es werden dazu 2 Fälle gezeigt. Der zu erwartende Nachteil einer Lockerung unter Langzeitbeobachtung kann im weiteren Verlauf mit einer der obengenannten Alternativen Rechnung getragen werden. Diese Therapie kann dann nach der ergän-zenden Chemotherapie durchgeführt werden oder zu einem späteren Zeitpunkt, sofern Schmerzen oder Instabilität auftreten.

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Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • B. M. Persson
    • 1
  • A. Rydholm
    • 1
  1. 1.Department of Orthopaedic SurgeryUniversity HospitalLundSweden

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