Limb Salvage pp 329-334 | Cite as

Histomorphological Findings in Different Cementless Anchored Humerus Prostheses

  • F. Gottsauner-Wolf
  • R. Kotz
  • M. Salzer
  • H. PlenkJr.
Conference paper


Limb salvage procedures in the treatment of malignant bone tumors of the upper extremity have been performed in Vienna since the early 1970s [1,4–6]. Endoprostheses with different anchorage systems and made of various materials have been constructed to obtain a maximum of function and long-term stability with a minimum oflocal tissue irritation. Consequently this led to systems which relied on a biological fixation in the bone without the use of bone cement. Improvements of constructional details like the use of adequate materials and surface structures together with extracortical or intramedullary fixation were partly based on histological findings on retrieved implants. This study summarizes our experience in 15 cases of retreieved humerus endoprostheses.


Limb Salvage Bone Ingrowth Malignant Bone Tumor Intramedullary Fixation Limb Salvage Procedure 
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  1. 1.
    Salzer M, Zweymüller K, Locke H, Zeibig A, Stark N, Plenk H, Punzet G (1976) Further experimental and clinical experience with aluminium oxide endoprostheses. J Biomed Mater Res 10: 847–856PubMedCrossRefGoogle Scholar
  2. 2.
    Plenk H Jr (1986) The microscopic evaluation of hard tissue implants. In: Williams DF (ed) CRC series in biocompatibility. CRC, Boca Raton, pp 35–81Google Scholar
  3. 3.
    Bos G, Sim FH, Pritchard DJ, Shives TC, Rock M, Askew L, Chao EYS (1987) Prosthetic proximal humeral replacement: the Mayo Clinic experience. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Livingstone, New York, pp 61–72Google Scholar
  4. 4.
    Sekera J, Ramach W, Pongracz, Salzer-Kuntschik M, Kotz R, Knahr K, Salzer M (1987) Experience with ceramic and metal implants for the proximal humerus in cases of malignant bone tumor. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Livingstone, New York, pp 211–215Google Scholar
  5. 5.
    Salzer M, Knahr K, Locke H, Stärk N, Matejovsky Z, Plenk H Jr, Punzet G, Zweymüller K (1979) A bioceramic endoprosthesis for the replacement of the proximal humerus. Arch Orthop Trauma Surg 93: 169–184PubMedCrossRefGoogle Scholar
  6. 6.
    Plenk H Jr, Salzer M, Locke H, Stark N, Puncet G, Zweymüller K (1978) Extracortical attachment of bioceramic endoprostheses to long bones without bone cement. Clin Orthop 132: 252–265PubMedGoogle Scholar
  7. 7.
    Gottsauner-Wolf F, Plenk H Jr, Knahr K, Kotz R (1989) Histomorphological evaluation of the diaphyseal anchorage in KMFTR-type tumor prostheses. In: Yamamuro T (ed) Limb salvage in musculoskeletal oncology. Springer, Berlin Heidelberg New York, pp 227–232CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • F. Gottsauner-Wolf
    • 1
  • R. Kotz
    • 1
  • M. Salzer
    • 2
  • H. PlenkJr.
    • 3
  1. 1.Orthopaedic University Clinic ViennaAustria
  2. 2.Orthopaedic Hospital Gersthof ViennaAustria
  3. 3.Bone and Biomaterial Research Laboratory, Histological InstituteUniversity of ViennaAustria

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