Experience in endoprosthesis replacement of large joints in patients with bone tumors in the Samara region
Abstract
Arthroplasty is a common method of selection of organ-preserving treatment of bone tumors. it allows to improve the quality of life of cancer patients and does not worsen the prognosis of the disease. in 2012–2015, for the first time in Samara regional clinical oncologic dispensary was performed 14 interventions for malignant tumors of the long bones using cancer surgery. The amount of interference resection of the articular end of the femur, tibia or humerus with displacement post-resection defect modular endoprostheses Oncology Salvage System (Biomet). The average time of surgery was 5±0,65 hours. The average amount of intraoperative blood loss – 1085±188 ml. average duration of hospital stay of the patient after surgery was 22±2,85 days. all patients in the postoperative period was prescribed antibiotic and anticoagulant therapy. The average duration of antibiotic therapy after surgery was 6±1,5 days. There were no complications. The anatomic and functional status of all patients was evaluated as good.
About the Authors
G. P. KotelnikovRussian Federation
A. E. Orlov
Russian Federation
V. V. Stadler
Russian Federation
R. V. Hobta
Russian Federation
D. A. Ogurtsov
Russian Federation
V. V. Ivanov
Russian Federation
A. N. Nikolaenko
Russian Federation
S. A. Prichodko
Russian Federation
References
1. Asavamongkolkul A., Eckardt J.J., Eilber F.R. et al. Endoprosthetic reconstruction for malignant upper extremity tumors. Clin. Orthop. Relat. Res. 1999, р. 207-220.
2. Махсон Н.Е., Махсон А.Н. Адекватная хирургия при опухолях плечевого и тазового пояса. Монография. Реальное время. М., 1998, с. 5-6.
3. Мачак Г.Н. Современные возможности и перспективы комбинированного лечения остеосаркомы. Автореферат дис. д-ра мед. наук. РОНЦ им. Н.Н. Блохина. М., 2007, с. 43-45.
4. Некачалов В.В. Патология костей и суставов. Руководство. СПб.: Сотис. 2000, c. 288.
5. Aliev M.D., Teplyakov V., Sicheva L. et al. Modern orthopaedical treatment of metastatic lesion of long bones. 17th Annual Meeting of the EMSOS, Oslo, Norway, 9-11 June 2004, p. 46.
6. Соколовский В.А., Дмитриева Н.В., Сушенцов Е.А. Инфекционные осложнения после эндопротезирования больных с опухолями костей. Вопросы онкологии. Науч.-практ. журн. 2005, т. 51, № 3, с. 342-346.
7. Bacci G., Ferrari S., Lari S. et al. Osteosacroma of the limb: amputation or limb salvage in patients treated by neoadjuvant chemotherapy. J. Bone Joint Surgery Br. 2002, р. 88-92.
8. Berutti A., Dogliotti L. еt al. Differential Patterns of Bone Turnover in Relation to Bone Pain and Disease Extent in Bone in Cancer Patients with Skeletal Metastases. Clinical Chemistry. 1999, No. 5, р. 1240-1247.
9. Brown J., Cook R., Major P. еt al. Bone Turnover Markers as Predictors of Skeletal Complications in Prostate Cancer, Lung Cancer and Other Solid Tumors. Journal of The National Cancer Institute. 2005, No. 1.
10. David C. Dahlin, Mark B. Coventry et al. Osteogenic Sarcoma a study of six hundred cases. J. Bone Joint. Surg. Am. 1967, р. 101-110.
11. Dennis A. Casciato. Manual of Clinical Oncology. Fifth Edition. Lippincott Williams & Wilkins. 2004, p. 510-527.
12. Grimer R.J., Carter S.R. et al. Endoprosthetic replacement of the proximal tibia. The journal of bone and joint surgery. 1998, р. 488-494.
13. Marcove R.C., Mike V., Hajack J.V. et al. Osteogenic sarcoma under the age of twentyone. A review of one hundred and forty-five operative cases. J. Bone Joint. Surg. 1970, р. 411-423.
14. Simon M.A., Aschliman M.A., Thomas N. et al. Limb-salvage treatment versus amputation for osteosarcoma of the distal end of the femur. J. Bone Joint. Surg. Am. 1986, р. 1331-1337.
Review
For citations:
Kotelnikov G.P., Orlov A.E., Stadler V.V., Hobta R.V., Ogurtsov D.A., Ivanov V.V., Nikolaenko A.N., Prichodko S.A. Experience in endoprosthesis replacement of large joints in patients with bone tumors in the Samara region. Bone and soft tissue sarcomas, tumors of the skin. 2016;(2):11-15. (In Russ.)