Long‐term outcomes of cement in cement technique for revision endoprosthesis surgery

Long‐term outcomes of cement in cement technique for revision endoprosthesis surgery INTRODUCTIONWith considerable advances in imaging, implant design, surgical technique and chemotherapeutics, limb salvage surgery has supplanted amputation as the preferred intervention for the majority of patients with a musculoskeletal malignancy. As the ability to treat these malignancies becomes progressively more sophisticated, the utilization of endoprostheses continues to expand, and the survival of patients undergoing endoprosthetic reconstruction continues to improve. With 25‐year implant survival rates reported to be approximately 50%, an increasing number of patients will require revision of their endoprosthesis.The treatment of patients with endoprosthetic failure presents a challenge due to resultant insufficient bone stock, poor muscle function, and lack of normal soft tissue coverage. A prior study by Kabo et al documented a 7‐year survival of 66% for revision endoprostheses, reflecting the difficulty of creating a durable construct in a revision setting. In particular, the revision of cemented endoprostheses is technically demanding. The removal of the implant from stress shielded bone is often fraught with challenges and the ease of simply “cutting above” the cement mantle is tempting for surgeons. This, however, uses additional bone stock and dramatically limits the number of revisions a patient can undergo in their lifetime. It also raises the level of amputation if http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Surgical Oncology Wiley

Loading next page...
 
/lp/wiley/long-term-outcomes-of-cement-in-cement-technique-for-revision-GMDZCLvZk1
Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
0022-4790
eISSN
1096-9098
D.O.I.
10.1002/jso.24862
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONWith considerable advances in imaging, implant design, surgical technique and chemotherapeutics, limb salvage surgery has supplanted amputation as the preferred intervention for the majority of patients with a musculoskeletal malignancy. As the ability to treat these malignancies becomes progressively more sophisticated, the utilization of endoprostheses continues to expand, and the survival of patients undergoing endoprosthetic reconstruction continues to improve. With 25‐year implant survival rates reported to be approximately 50%, an increasing number of patients will require revision of their endoprosthesis.The treatment of patients with endoprosthetic failure presents a challenge due to resultant insufficient bone stock, poor muscle function, and lack of normal soft tissue coverage. A prior study by Kabo et al documented a 7‐year survival of 66% for revision endoprostheses, reflecting the difficulty of creating a durable construct in a revision setting. In particular, the revision of cemented endoprostheses is technically demanding. The removal of the implant from stress shielded bone is often fraught with challenges and the ease of simply “cutting above” the cement mantle is tempting for surgeons. This, however, uses additional bone stock and dramatically limits the number of revisions a patient can undergo in their lifetime. It also raises the level of amputation if

Journal

Journal of Surgical OncologyWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial