Silver-coated endoprosthetic replacement of the proximal humerus in case of tumour-is there an increased risk of periprosthetic infection by using a trevira tube?
| Autor: | Peter Heinrich Pennekamp, Andreas C. Strauss, Dieter Christian Wirtz, Sönke Percy Frey, Jan Schmolders, S. Koob, Michael Kehrer, Paul Schepers |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Proximal humerus Prosthesis-Related Infections Silver Adolescent Radiography medicine.medical_treatment Periprosthetic Bone Neoplasms Prosthesis Risk Assessment Prosthesis Implantation 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Range of Motion Articular Survival rate Aged Retrospective Studies Aged 80 and over 030222 orthopedics business.industry Humerus Middle Aged Surgery Survival Rate Increased risk Replantation Orthopedic surgery Female Radiology business Range of motion Follow-Up Studies |
| Zdroj: | International orthopaedics. 41(2) |
| ISSN: | 1432-5195 |
| Popis: | The aim of our study was to evaluate if there is an increased risk of periprosthetic infection (PJI) in patients following replacement of the proximal humerus by using a modular tumour prosthesis in combination with a trevira tube. Thirty patients were treated by using a modular tumour endoprosthesis (MUTARS®) following intra-articular resection of the proximal humerus. Fifteen patients received treatment by using a trevira tube. In 15 further cases the use of a trevira tube was not necessary. The mean follow-up time was 26 months (range: 24 months to 84 months). Both, Enneking score and range of motion (ROM), was evaluated. Further radiographs were obtained in two planes. The survival rate one year after surgery was 83 % and 63 % after two years. We recorded a 96 % survival of the limb two years after surgery. We also observed only one case of periprosthetic joint infection (PJI) in the entire follow-up period in one patient who received treatment with a trevira tube. The mean Enneking score was 20 points (range 8 to 26 points). ROM was equal in both study groups. In total 20 % of the treated patients (n = 6) suffered complications. Replacement of the proximal humerus by using a trevira tube in combination with a modular tumour endoprosthesis is a safe and viable treatment option for both, bone tumours and metastases. There is no statistically significant increased risk of infection by using trevira tube even among immunosuppressed patients. Level 3, retrospective comparative study |
| Databáze: | OpenAIRE |
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