Stump Lengthening Procedure with Modular Endoprostheses — the Better Alternative to Disarticulations of the Hip Joint?

Abstract We report outcomes of 28 patients after stump-lengthening procedures (SLPs) with modular tumor endoprostheses following high-thigh amputation and hip disarticulation over 11 years. Mean follow up was 41.3 months (range 7.4 to 133.6 months). Mean Musculoskeletal Tumour Society Score was 56%...

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Bibliographic Details
Published in:The Journal of arthroplasty 2015-04, Vol.30 (4), p.681-686
Main Authors: Henrichs, Marcel-Philipp, MD, Singh, Gurpal, FRCSEd (Orth), Gosheger, Georg, MD, Nottrott, Markus, PhD, Streitbuerger, Arne, MD, Hardes, Jendrik, MD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Amputation - instrumentation
Amputation - methods
Amputation Stumps - surgery
Bone Neoplasms - surgery
Child
Disarticulation - instrumentation
Female
gait
high amputation
hip disarticulation
Hip Joint - surgery
Hip Prosthesis
Humans
Male
Middle Aged
modular endoprostheses
Orthopedics
Prosthesis Design
Soft Tissue Neoplasms - surgery
soft tissue tension
stump lengthening procedure
Young Adult
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Summary:Abstract We report outcomes of 28 patients after stump-lengthening procedures (SLPs) with modular tumor endoprostheses following high-thigh amputation and hip disarticulation over 11 years. Mean follow up was 41.3 months (range 7.4 to 133.6 months). Mean Musculoskeletal Tumour Society Score was 56% (n = 11); ten out of eleven patients alive used an exoprosthesis regularly. Complications occurred in 15 patients with infection being most common. In 2 cases, the prostheses had to be explanted. Our data suggest that SLP facilitates post-operative rehabilitation and prosthesis usage. Modular endoprostheses for stump-lengthening allow optimization of remnant soft-tissue envelope, reducing the risk of stump perforation.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2014.11.010