Large Volume Osteosarcomas of the Femur Treated with Total Femoral Replacement
Journal Title: Malaysian Orthopaedic Journal - Year 2014, Vol 8, Issue 1
Abstract
Patients with extensive malignancies involving the femur often require total femoral replacement when their limbs can be salvaged. Reported series are small and involve heterogeneity of tumours. We present nine patients with osteosarcomas of the femur treated at our institution between 2003 and 2010 with a mean follow-up of 27 (6 to 56) months. Their ages ranged from 9 to 17 (mean 14 years). They had large volume tumours (mean 911 cm3) and presented late with a mean of 5.5 months from the onset of symptoms to definitive treatment. All patients underwent resection and total femur replacement. Six patients have died and two are alive with good function at the time of this report. One was lost to follow-up. These patients require a high level of treatment care and have a guarded prognosis.
Authors and Affiliations
Pan KL, Chan WH, Shanmugam P, Ong GB, Kamaruddin F, Tan S
Surgical Site Infection Following Posterior Instrumented Surgery for Thoracolumbar Burst Fractures
Objectives: To study the prevalence and the risk factors for surgical site infection in patients who underwent posterior instrumented surgery for thoracolumbar burst fractures. Methodology: Retrospective review of cases...
Causative Factors for Femoral Pin Track Fractures in Navigated Total Knee Arthroplasty
This retrospective radiographic analysis of 57 patients (62 knees) examined two possible factors involved in pin tract fractures of the femur due to navigated total knee arthroplasty (TKA): the angle of the tracker pin w...
Ultrasound-guided Percutaneous Trucut Needle Biopsy for Musculoskeletal Tumours
Purpose: To evaluate the usefulness of ultrasound guidance in percutaneous needle biopsy for musculoskeletal tumours. Methods: Forty-five consecutive patients underwent ultrasound-guided needle biopsy. An additional gro...
Acetabulum Protrusion Following Ceramic Liner Fracture: A Case Report
Hip arthroplasty is an extremely satisfying treatment method for coxarthrosis which is in increasing use throughout the world. However, loosening of the prosthesis is a significant complication and to overcome this, cera...
Reconstruction of the Second Metatarsal with Nonvascularised Fibular Graft following En-bloc Resection for Giant Cell Tumour: A Case Report
Giant cell tumour in the metatarsal of a skeletally immature person is uncommon. Adequate surgical resection in this region can be difficult to achieve as there is little space between the rays of the foot. Furthermore,...