Limb Salvage pp 257-262 | Cite as

Long-Term Radiographic Evaluation of Massive Proximal Femoral Replacements

  • A. E. InglisJr.
  • S. R. Carter
  • P. S. Walker
Conference paper

Abstract

Custom proximal femoral replacements have been designed and fabricated in the Department of Biomedical Engineering of the Institute of Orthopaedics since 1949. There have been many reports of their clinical results (Kemp 1987) as well as histological and mechanical studies of cemented intramedullary fixation (Scales et al., 1984; Wright et al, 1984). There are no reports, however, which document the radiographic changes which occur over time. This would provide an indicator of the likely durability of this method of fixation. In addition, a correlation could be attempted with clinical results. With the introduction of a new scheme for radiologic evaluation of prostheses after bone tumor resection and endoprosthetic replacement (ISOLS), we thought that such a radiographic study would provide useful data on application of the scheme.

Keywords

Titanium Oncol Osteosarcoma 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Chao EYS, Sim FH (1987) Biological and biomechanical justification of porous-coated modular segmental bone-joint prostheses for limb salvage. In: International symposium of limb salvage in musculoskeletal oncology, p 87Google Scholar
  2. Eftekhar NS (1987) Long-term results of cemented total hip arthroplasty. Clin Orthop 225: 207PubMedGoogle Scholar
  3. Gruen TA, McNeice GM, Amstutz HC (1979) Modes of failure of cemented stem-type femoral components. Clin Orthop 141: 17PubMedGoogle Scholar
  4. Johnson RC (1987) The case for cemented hips. In: Brand RA (ed) The hip. Proceedings of the 14th Meeting of the Hip Society. 1986. Mosby, St LouisGoogle Scholar
  5. Kemp H (1987) Limb conservation surgery for osteosarcoma and other primary bone tumours. Baillieres Clin Oncol 1: 111CrossRefGoogle Scholar
  6. Scales JT, Wait ME, Wright KWJ (1984) Intramedullary fixation of custom-made major endoprostheses with special reference to the bone response. Eng Med 13: 185PubMedCrossRefGoogle Scholar
  7. Wright KWJ, Meswania JM, Scales IT (1984) Stem-PMMA fixation of proximal femoral replacementbiomechanical and clinical findings. Institution of Mechanical Engineers. London. p 45 (paper C218J84) Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • A. E. InglisJr.
    • 1
  • S. R. Carter
  • P. S. Walker
    • 2
  1. 1.Department of Biomedical EngineeringInstitute of Orthopaedics, Royal National Orthopaedic HospitalStanmoreUK
  2. 2.Royal Orthopaedic HospitalWoodlandsUK

Personalised recommendations