| Autor: |
Flint, Michael N., Griffin, Anthony M., Bell, Robert S., Wunder, Jay S., Ferguson, Peter C. |
| Předmět: |
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| Zdroj: |
Journal of Arthroplasty; Sep2007, Vol. 22 Issue 6, p859-865, 7p |
| Abstrakt: |
Abstract: We reviewed our experience with 2-stage revision of uncemented Kotz Modular Femoral and Tibial Replacement System prostheses from 1989 to 2004. A total of 180 lower extremity tumor prostheses were inserted, 15 of which underwent removal of the prosthesis for infection. Eleven patients underwent subsequent second-stage revision, and 4 underwent amputation. Of the 11 patients who underwent revision, 8 continue to be free of infection an average of 33 months postoperatively. Of these 8 patients, 6 were revised without removal of the diaphyseal anchorage piece, which were all well ingrown. Most successful revisions were in the group that developed infection within 6 months of their original procedure. Two-stage revision of uncemented tumor endoprostheses with retention of a well-ingrown stem can be associated with successful eradication of infection. [Copyright &y& Elsevier] |
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