LONG BONE AND JOINT ENDOPROSTHETIC REPLACEMENT IN CASES WITH LOCAL SOFT TISSUE DEFICIENCY
Abstract
Treatmentresults of 115 patients with lesionsin long bones who underment segmentary resection of long bone with the subsequent prosthetic reconstruction are presented. Adequate formation of endoprosthetic bed for the prevention of infectious complications was the primary goal after implantation of the endoprosthesis.
After implant installation in 38 (33%) patients adequate muscular bed was not possible to form. In 37 (97%) patients muscular flaps were used and in one (3%) patient - free flap with micro-vascular anastomosis was used. Plastic reconstruction component was used during endoprosthetic replacement in 29 patients with tumors in lower extremities and 9 with upper extremities.
Plastic reconstruction component usage extends endoprosthetic replacement indications, decreases infectious complications, frequency of relapses and improves functional results
After implant installation in 38 (33%) patients adequate muscular bed was not possible to form. In 37 (97%) patients muscular flaps were used and in one (3%) patient - free flap with micro-vascular anastomosis was used. Plastic reconstruction component was used during endoprosthetic replacement in 29 patients with tumors in lower extremities and 9 with upper extremities.
Plastic reconstruction component usage extends endoprosthetic replacement indications, decreases infectious complications, frequency of relapses and improves functional results
About the Authors
В. Тепляков
Московский научно-исследовательский онкологический институт им. П.А. Герцена Минздравсоцразвития России
Russian Federation
Russian Federation
В. Карпенко
Московский научно-исследовательский онкологический институт им. П.А. Герцена Минздравсоцразвития России
Russian Federation
Russian Federation
A. Шаталов
Московский научно-исследовательский онкологический институт им. П.А. Герцена Минздравсоцразвития России
Russian Federation
Russian Federation
V. V. Teplyakov
P.A. Hertcen Moscow Cancer Research Center
Russian Federation
Russian Federation
V. U. Karpenko
P.A. Hertcen Moscow Cancer Research Center
Russian Federation
Russian Federation
A. M. Shatalov
P.A. Hertcen Moscow Cancer Research Center
Russian Federation
Russian Federation
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Review
For citations:
, , , Teplyakov V.V., Karpenko V.U., Shatalov A.M. LONG BONE AND JOINT ENDOPROSTHETIC REPLACEMENT IN CASES WITH LOCAL SOFT TISSUE DEFICIENCY. Bone and soft tissue sarcomas, tumors of the skin. 2011;(3):16-22. (In Russ.)
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