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Proximal femoral reconstruction with custom mega prosthesis

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Abstract

Seventy-seven patients with proximal femoral tumours underwent limb salvage surgery with custom mega prostheses between July 1989 and January 2002. We describe 44 cases with a mean follow-up of 57.8 months. Forty-one patients presented with malignant neoplasms of which 11 were malignant giant cell tumours, eight were chondrosarcoma and five were metastases. Wide margins were achieved for all malignant tumours, and marginal resection was done for all benign and metastatic lesions. Six patients died of disease and two were lost to follow-up. Mechanical complications were observed in six cases, fracture being the most common. Oncological complications occurred in five patients. Functional activity was satisfactory in 79% of patients.

Résumé

77 patients avec des tumeurs fémorales proximales ont eu une chirurgie de résection avec reconstruction par des méga-prothèses faites sur mesure entre juillet 1989 et janvier 2002. Nous présentons 44 cas avec un suivi moyen de 57,8 mois. 41 patients avaient une tumeur maligne, dont 11 tumeurs à cellules géantes, 8 chondrosarcomes et 5 métastases. Une résection large a été faite pour toutes les tumeurs malignes. Les tumeurs bénignes ainsi que les lésions métastatiques ont été traitées par une résection marginale. Six patients sont morts de la maladie et 2 ont été perdus de vue. Des complications mécaniques, principalement des fractures, ont été observées chez 6 patients. Des complications oncologiques ont été observées chez 5 patients. Le résultat fonctionnel était satisfaisant chez 79% des patients.

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, Madras Medical College and Research Institute , Government General Hospital, 600 003, Chennai, India

    M. Natarajan

  2. Government Royapettah Hospital, 600 014, Chennai, India

    J. C. Bose

  3. Madras Medical College and Research Institute, Government General Hospital, 600 003, Chennai, India

    G. Rajkumar

  4. 14 Bank Street, Kilpauk, 600 010, Chennai, India

    M. Natarajan

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  1. M. Natarajan
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  2. J. C. Bose
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  3. G. Rajkumar
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Correspondence to M. Natarajan.

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Natarajan, M., Bose, J.C. & Rajkumar, G. Proximal femoral reconstruction with custom mega prosthesis. International Orthopaedics (SICOT) 27, 175–179 (2003). https://doi.org/10.1007/s00264-003-0451-z

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  • DOI: https://doi.org/10.1007/s00264-003-0451-z

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