Trabecular metal endoprosthetic limb salvage reconstruction of the lower limb.

Holt GE, Christie MJ, Schwartz HS
J Arthroplasty. 2009 24 (7): 1079-85

PMID: 18834697 · DOI:10.1016/j.arth.2008.08.010

Currently, porous tantalum (trabecular metal) implants are widely accepted and frequently used for primary and revision hip and knee replacement surgery. This study examines the results of porous tantalum endoprostheses used to reconstruct large skeletal defects following resection of bone tumors. Seven custom tantalum implants were used to reconstruct 7 patients following resection for skeletal sarcomas in the femur and proximal tibia. Patient ages ranged from 13 to 71, with a mean of 34 years. Minimum patient follow-up was 6 years. The average Musculoskeletal Tumor Society functional evaluation score was 95 % of normal. There were no infections, hardware failures, or adverse events. One implant was revised 98 months post insertion because of fibrosis, loss of motion and loosening. In this small clinical series, the use of porous tantalum for limb salvage reconstruction is shown to be safe, to successfully provide osteointegration and soft tissue ingrowth, and to facilitate return of limb girdle muscle function.

MeSH Terms (25)

Adolescent Adult Aged Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee Artificial Limbs Bone Neoplasms Child Disability Evaluation Female Fibula Follow-Up Studies Humans Leg Limb Salvage Male Metals Middle Aged Radiography Retrospective Studies Sarcoma Sarcoma Tibia Treatment Outcome Young Adult

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