Bibliographic Details
| Title: |
Proximal femur reconstruction with a cemented allograft-prosthesis composite and a new type of plate in young patients: Surgical technique |
| Authors: |
Jacopo Vittori, Michele Reboli, Paolo Bedino, Nicola Ratto, Francesco Bosco, Raimondo Piana |
| Source: |
Journal of Orthopaedic Reports, Vol 1, Iss 4, Pp 100106- (2022) |
| Publisher Information: |
Elsevier, 2022. |
| Publication Year: |
2022 |
| Collection: |
LCC:Orthopedic surgery |
| Subject Terms: |
Bone graft, Allograft, APC, Proximal femur reconstruction, Surgical technique, Plate, Orthopedic surgery, RD701-811 |
| More Details: |
Purpose and aim: To describe an alternative surgical technique for treating proximal femur tumor lesions in young patients. Background: Reconstruction of segmental defects is a major challenge for orthopedic oncologic surgeons. Bone reconstruction of these defects aims to restore bone length and function. Currently, the most widely used methods for reconstruction are mega-prosthesis or cemented allograft-prosthesis composite (APC). Technique: The proposed approach consists of implanting a cemented allograft-short prosthesis composite and synthesis with a new type of plate, Depuy Synthes® VA-LCP PPFx proximal femur Hook Plate 3.5/4.5/5.0 mm. Conclusions: This technique involves meticulous planning of implants and selection of the synthesis device with precise measurements on X-rays and intra-operatively. It allows the surgeon to standardize the procedure providing good synthesis stability and possibly subsequent proper osseointegration of the allograft with the native bone. Moreover, using a prosthesis with a short stem prevents affecting the bone reserve of the healthy femur and may obviate the risk of excessive bone stock loss associated with this surgical procedure. Clinical significance: A relatively straightforward surgical technique, stable synthesis, and adequate osseointegration feasibility between allograft and native bone. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2773-157X |
| Relation: |
http://www.sciencedirect.com/science/article/pii/S2773157X22001126; https://doaj.org/toc/2773-157X |
| DOI: |
10.1016/j.jorep.2022.100106 |
| Access URL: |
https://doaj.org/article/6954606c2c984d68a5001c2b7bbc72eb |
| Accession Number: |
edsdoj.6954606c2c984d68a5001c2b7bbc72eb |
| Database: |
Directory of Open Access Journals |
