PROSTHETIC REPLACEMENT OF THE DISTAL FEMUR FOR PRIMARY BONE-TUMORS
PROSTHETIC REPLACEMENT OF THE DISTAL FEMUR FOR PRIMARY BONE-TUMORS
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DOI：
10.1302/0301-620x.73b5.1894662
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发表时间：
1991-09-01
影响因子：
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通讯作者：
SCALES, JT
中科院分区：
文献类型：
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作者：
ROBERTS, P;CHAN, D;SCALES, JT
在16年的时间里，135个定制的远端股骨假体，完全限制斯坦莫尔型膝关节置换术的基础上，被用于治疗原发性恶性或侵袭性良性tumors.Survivorship分析显示，累积成功率为72%，在5年和64%，在7年。 91%的存活患者的完整假体提供了良好或优秀的功能结果。 深部感染是主要并发症，发生率为6.8%;临床无菌性松动发生率为6.0%。 我们认为股骨远端人工关节置换术可以达到保肢手术的目的。
Over a 16-year period, 135 custom-made distal femoral prostheses, based on a fully constrained Stanmore-type knee replacement, were used in the treatment of primary malignant or aggressive benign tumours.Survivorship analysis showed a cumulative success rate of 72% at five years and 64% at seven years. Intact prostheses in 91% of the surviving patients gave good or excellent functional results. Deep infection was the major complication, occurring in 6.8% of cases; clinical aseptic loosening occurred in 6.0%. Revision surgery was carried out for loosening and infection, and the early results are encouraging.We conclude that prosthetic replacement of the distal femur can meet the objectives of limb salvage surgery.