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Title of Journal: International Orthopaedics SICOT

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Abbravation: International Orthopaedics

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Springer-Verlag

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10.1002/bjs.1800690704

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1432-5195

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Modular megaprosthesis for distal femoral tumors

Authors: I Ilyas A Kurar P Moreau D Younge
Publish Date: 2001/09/13
Volume: 25, Issue: 6, Pages: 375-377
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Abstract

We treated 48 patients with distal femoral tumors by resection and limb salvage with an uncemented megaprosthesis Howmedica Modular Replacement System Diagnoses included 32 osteosarcomas five chondrosarcomas six giant cell tumors of the bone three fibrosarcomas and two Ewings sarcomas The mean followup was 56 years 2–10 years The overall complication rate was 39 Seven patients died of their disease but none from complications related to the surgery Five patients were revised to arthrodesis and one required amputation because of complications The mean postoperative Musculoskeletal Tumor Society score MSTS score was 21 6–28 for the remaining 35 patients The most frequent complications were infection 146 and aseptic loosening 48 Tenyear survival of the prosthesis was 65Les auteurs ont traité 48 patients atteints de tumeurs du fémur distal par résection et reconstruction avec une prothese noncimentee HMRS Les diagnostics étaients  ostéosarcome 32 chondrosarcome 5 tumeur a cellules géantes 6 fibrosarcome 3 et sarcome dEwing 2 Le suivi moyen fut de 56 ans 2–10 ans Le taux de complications global fut de 39 Sept malades sont morts de la maladie tumorale mais aucun de complications de la chirurgie Cinq patients ont dû avoir une reprise pour arthrodèse et un patient a subi une amputation à cause de complications Le score MSTS musculoskeletal tumor society moyen fut 21 pour les autres Les complications les plus fréquentes étaient linfection 145 et le descellement 48 Le taux de survie de la prothese a 10 ans était de 65

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