Le artroprotesi modulari nella chirurgia oncologica

  • M. Mercuri
  • M. De Paolis
  • C. Errani
  • N. Fabbri
  • A. Ferraro
  • P. Ruggieri
  • C. Ghinelli

Estratto

Il ginocchio è la sede più frequentemente coinvolta nei tumori primitivi dello scheletro (60%), soprattutto a livello del femore distale. L’osteosarcoma, il sarcoma di Ewing ed il condrosarcoma sono le neoplasie maligne primitive più comuni in questa sede. Tra le lesioni benigne ricordiamo il tumore a cellule giganti, la cisti aneurismatica ed il condroblastoma. L’età più colpita è quella degli adolescenti e dei giovani adulti.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliografia

  1. 1.
    Moore AT, Bohlman HR (1943) Metal hip joint: a case report. J Bone Joint Surg Am 25:688Google Scholar
  2. 2.
    Delitala F (1956) Costituzione di parti interne del corpo umano. Capelli, BolognaGoogle Scholar
  3. 3.
    Campanacci M (1999) Bone and soft tissue tumors, 2nd edn. Piccin, Nuova Libraria, Padova/Springer, Wien, New YorkGoogle Scholar
  4. 4.
    Kotz R, Ritschl P, Trachtenbrodt J (1986) A modular femur-tibia reconstruction system. Orthopedics 9:1639–1652PubMedGoogle Scholar
  5. 5.
    Chao EYS, Fuchs B, Rowland CM et al (2004) Long-term results of segmental prosthesis fixation by extracortical bone-bridging and ingrowth. J Bone Joint Surg Am 86:948–955PubMedGoogle Scholar
  6. 6.
    Henshaw RM, Jones V, Malawer MM (1998) Endoprosthetic reconstruction with the modular replacement system. Survival analysis of the 100 implants with a minimum 2 years follow-up. Fourth Annual Combined Meeting of the American and European Musculoskeletal Tumor Societies, May 1998 WashingtonGoogle Scholar
  7. 7.
    Safran MR, Eckardt JJ, Kabo JM, Oppenheim WL (1992) Continued growth of the proximal part of the tibia after prosthetic reconstruction of the skeletally immature knee. J Bone Joint Surg Am 74:1172–1179PubMedGoogle Scholar
  8. 8.
    Eckardt JJ, Yang RS, Ward WG et al (1995) Endoprosthetic reconstruction for malignant bone tumors and nonmalignant tumours conditions of bone. In: Stauffer RN, Erlich MG, Fu FH et al (eds) Advances in operative orthopaedics. Mosby, St. Louis, pp 61–83Google Scholar
  9. 9.
    Grimer RJ, Carter SR, Tillman RM et al (1999) Endoprosthetic replacement of the proximal tibia. J Bone Joint Surg Br 81:488–494PubMedCrossRefGoogle Scholar
  10. 10.
    Unwin PS, Cannon SR, Grimer RJ et al (1996) Aseptic loosening in cemented custom-made prosthetic replacements for bone tumours of the lower limb. J Bone Joint Surg Br 78:5–13PubMedGoogle Scholar
  11. 11.
    Horowitz SM, Glasser DB, Lane JM, Healey JH (1993) Prosthetic and extremity survivorship after limb salvage for sarcoma: how long do the reconstructions last? Clin Orthop (293):280–286PubMedGoogle Scholar
  12. 12.
    Malawer MM, Chou LB (1995) Prosthetic survival and clinical results with use of large-segment replacements in the treatment of high-grade bone sarcomas. J Bone Joint Surg Am 77:1154–1165PubMedGoogle Scholar
  13. 13.
    Mittermayer F (2001) Long-term followup of uncemented tumor endoprostheses for the lower extremity. Clin Orthop (388):167–177PubMedCrossRefGoogle Scholar
  14. 14.
    Choong PFM, Sim FH, Pritchard DJ et al (1996) Megaprostheses after resection of distal femoral tumours: a rotating hinge design in 30 patients followed for 2–7 years. Acta Orthop Scand 67:345–351PubMedGoogle Scholar
  15. 15.
    Kabo JM, Yang RS, Dorey FJ, Eckardt JI (1997) In vivo rotational stability of the kinematic rotating hinge knee prosthesis. Clin Orthop (336):166–176PubMedCrossRefGoogle Scholar
  16. 16.
    Kawai A, Muschler GF, Lane JM et al (1998) Prosthetic knee replacement after resection of a malignant tumor of the distal part of the femur: medium to long-term results. J Bone Joint Surg Am 80:636–647PubMedCrossRefGoogle Scholar
  17. 17.
    Mittermayer F, Windhager R, Dominkus M et al (2002) Revision of the Kotz type of tumour endoprosthesis for the lower limb. J Bone Joint Surg Br 84:401–406PubMedCrossRefGoogle Scholar
  18. 18.
    Renard AJ, Veth RP, Schreuder HW et al (2000) Function and complications after ablative and limb-salvage therapy in lower extremity sarcoma of bone. J Surg Oncol 73:198–205PubMedCrossRefGoogle Scholar
  19. 19.
    Springer BD, Sim FH, Hanssen AD, Lewallen DG (2004) The modular segmental kinematic rotating hinge for nonneoplastic limb salvage. Clin Orthop (421):181–187PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 2005

Authors and Affiliations

  • M. Mercuri
    • 1
  • M. De Paolis
    • 1
  • C. Errani
    • 1
  • N. Fabbri
    • 1
  • A. Ferraro
    • 1
  • P. Ruggieri
    • 1
  • C. Ghinelli
    • 1
  1. 1.Dipartimento di Oncologia Muscoloscheletrica, V DivisioneIstituto Ortopedico RizzoliBologna

Personalised recommendations