An extendable modular endoprosthetic system for bone tumour management in the leg

A modular endoprosthetic system has been developed at the Groningen University Hospital and the University of Twente. The system can bridge a defect resulting from the resection of a malignant bone tumour which has developed around the knee joint of a child. Since the other healthy leg continues to grow, the system includes an element whose length can be adjusted non-invasively by using an external magnetic field. In addition to this lengthening element, there are one hip and two knee components, connectors of various lengths, and fixation elements. The paper describes the elements of the modular endoprosthetic system. Tables are created by means of which the elemental composition of such an endoprosthesis can be determined for each individual patient

The treatment of primary tumors of the femur with chemotherapy (if indicated), resection and reconstruction with an endoprosthesis

The treatment protocol of 15 patients with a primary tumor of the femur, including osteosarcoma, malignant fibrous histiocytoma and chondrosar-coma is presented. All patients had been selected for resection and reconstruction with an endoprosthesis. An endoprothesis was implanted in 12 patients. \ud The results of this type of treatment appear to be satisfactory. In eight osteosarcoma cases resection and reconstruction with an endoprosthesis combined with preoperative and postoperative chemotherapy, according to Rosen, were performed. Follow-up in all 15 patients, varying from 1.4 to 6.0 years, showed no evidence of disease in 12 patients. Three patients had died. Function of the involved leg was satisfactory in most cases. \ud The advantage and disadvantages of the use of an endoprosthesis are discussed as well as complications in this series of patients

Meniscal replacement using a porous polymer prosthesis: a preliminary study in the dog

Contains fulltext : 22478___.PDF (publisher's version ) (Open Access

An Experimental Study of Reconstructive Procedures in Lesions of the Meniscus:Use of Synovial Flaps and Carbon Fiber Implants for Artificially Made Lesions in the Meniscus of the Rabbit

Reconstructive procedures were investigated in meniscal lesions in 25 rabbits. Large meniscal defects were repaired with either a synovial flap or a carbon fiber implant. Fibrous tissue healing with occasional areas of fibrocartilage occurred after both types of reconstruction. When carbon fibers were used the ingrowing fibroblasts showed directional orientatio

Resection of a peri-acetabular chondrosarcoma and reconstruction of the pelvis: A case report

We report a patient with a peri-acetabular chondrosarcoma which was treated by resection of part of the pelvis and the femoral head. This was followed by replacement with a custom-made titanium alloy pelvic portion and a conventional total hip prosthesis. The operation was carried out in two stages, and yielded a good functional and cosmetic result. </jats:p