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Implant Reconstruction of the Distal Femur: I—Modular Prosthesis

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Orthopedic Surgical Oncology For Bone Tumors

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Abstract

The distal femur is a common site for primary and metastatic bone tumors. Before the 1970s, the majority of the patients with high-grade sarcomas involving the distal femur were treated with amputation that has been associated with a less optimal functional and psychological outcome for the patients. The introduction of a multidisciplinary approach using chemotherapy and radiotherapy together with advances in surgical and diagnostic techniques allowed limb salvage surgery in most cases of sarcomas of the distal femur. Currently, with careful patient selection limb salvage surgery is possible in about 90% of the patients with bone sarcomas involving the distal femur. This is an advance in the field of orthopedic oncology surgery that does not only affect the patient functionally and psychologically but also has a positive socioeconomic impact, as studies have proven that limb salvage surgery with endoprosthetic reconstruction is eventually more cost-effective than amputation.

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Author information

Authors and Affiliations

  1. Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

    Giulia Trovarelli, Elisa Pala & Pietro Ruggieri

  2. First Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece

    Jim Georgoulis & Andreas F. Mavrogenis

Authors
  1. Giulia Trovarelli
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  2. Jim Georgoulis
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  3. Elisa Pala
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  4. Andreas F. Mavrogenis
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  5. Pietro Ruggieri
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Corresponding author

Correspondence to Pietro Ruggieri .

Editor information

Editors and Affiliations

  1. Professor Emeritus Department of Orthopaedics and Traumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

    Harzem Özger

  2. Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN, USA

    Franklin H. Sim

  3. Department of Surgical Oncology, Tata Memorial Hospital, HBNI, Mumbai, Maharashtra, India

    Ajay Puri

  4. Professor Emeritus Department of Orthopaedics and Traumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

    Levent Eralp

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Trovarelli, G., Georgoulis, J., Pala, E., Mavrogenis, A.F., Ruggieri, P. (2022). Implant Reconstruction of the Distal Femur: I—Modular Prosthesis. 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_22

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  • DOI: https://doi.org/10.1007/978-3-030-73327-8_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-73326-1

  • Online ISBN: 978-3-030-73327-8

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