Step by step endoprostheses replacement technique in children with bone tumors of knee joint
Abstract
Background. To define perspective directions in the decision of the basic questions of modular endoprostheses replacement in the treatment of children with bone tumors of knee joint on the basis of experimental researches. Methods. Study was conducted on 35 white ratsmales 3 month old (live weight 190210г.). The analysis was based on the first experience of our children’s clinic - 4 pts with primary bone tumors who underwent modular endoprostheses replacement with spacerendoprostheses at treatment stages. Results. By month 5 after surgery all animals had restriction of movements in the operated joint and shorting of extremity Animals operated on one segment had interfacing segment longer and similar to non operated extremity. The analysis of a clinical data showed, that the less extremity shorting was observed in pts with unipolar endoprostheses replacement. Conclusion. From all variety of methods of surgical treatment the most modern and perspective is individual modular endoprostheses replacement. The technique step by step endoprostheses replacement possesses advantages. The received results allow to consider its effective and perspective for further use.
Keywords
коленный сустав,
эпифиз,
эпиметафиз,
эндопротез,
конечность,
рост,
knee joint,
epiphysis,
epimetaphysis,
endoprosthesis,
extremity,
growth
About the Authors
O. E. Vyrva
Sytenko Institute of Spine and Joint Pathology National Ukrainian Academy of Medical Sciences
Russian Federation
Russian Federation
V. V. Baev
Sytenko Institute of Spine and Joint Pathology National Ukrainian Academy of Medical Sciences
Russian Federation
Russian Federation
References
1. Вырва О.Е., Шевченко И.В., Головина Я.А., Бурлака В.В. Алгоритм обследования больных с опухолевыми поражениями скелета. Укр. мед. альманах. 2005, т. 8, № 2, с. 27-31.
2. Вирва О.Е., Шевченко С.Д., Баєв В.В. Діагностика і лікування злоякісних пухлин кісток у дітей. Ортопедия, травматология и протезирование. 2005, № 3, с. 15-20.
3. Вирва О.Е., Шевченко С.Д., Баев В.В. Органозберігальні операції у дітей із злоякісними пухлинами кісток кінцівок. Ортопедия, травматология и протезирование. 2008, № 2, с. 136-140.
4. Ковалев В.И., Ковалев Д.В., Копосов П.В. Остеогенная саркома у детей. М., «Триада-фарм». 2002, с. 30-39.
5. Корж А.А. В кн.: Комплексное лечение опухолей костей. Киев, 1979, с. 7-10.
6. Седова О.Н., Куропаткин Г.В., Бабкова М.И. Органосохраняющие операции при злокачественных опухолях области коленного сустава. 1-й Международный симпозиум пластической и реконструктивной хирургии, материалы. М., 1997, с. 7.
7. Селюжицкий И.В., Коржиков А.В., Анфилов С.В. Возможности органосохраняющих операций при опухолях костей. 1-й Международный симпозиум пластической и реконструктивной хирургии, материалы. М., 1997, с. 65.
8. Шугабейкер П.Х., Малауэр М.М. Хирургия сарком мягких тканей и костей. Принципы и оперативная техника. М., «Медицина». 1996, с. 87-96.
9. Шевченко С.Д., Баєв В.В., Малишкіна С.В., Нікольченко О.А. Вплив ушкодження епіфізу та наросткової пластинки кістки на подальший ріст кінцівки після ендопротезування (експериментальне дослідження). Ортопедия, травматология и протезирование. 2008, № 4, с. 82-87.
10. European convention for the protection of vertebrate animals used for experimental and other scientific purposes. Strasburg, 1986, 10 р.
11. Gokaraju K., Miles J., Cannon S., Briggs TWR., Blunn G. Distal femoral grows plate function use of joint-sparing endoprostheses for treatment of distal femoral bone tumours in children of bone growing age
12. Gupta A., Meswania J., Pollock R., Cannon S.R., Briggs TWR., Taylor S., Blunn G. Non-invasive distal femoral expendable endoprosthesis for limb-salvage surgery in pediatric tumors. J. Bone. Joint. Surg. (Br.). 2006, v. 88-B, No. 5, p. 649-654.
13. Henshaw R.M., Malawer M.M. Endoprosthetic reconstruction of the proximal humerus for large segmental defects following sarcoma resection. Plastic and Reconstructive Surgery in Oncology. The First International Symposium. Moscow, 1997, p. 82.
14. Kawai A., Muschler G.F., Lane J.M. et al. Prosthetic knee replacement after resection of a malignant tumor of the distal part of the femur. Medium to long-term results. J. Bone. Joint. Surg. Am. 1998, v. 80 (5), p. 636-647.
15. Krepler P, Dominkus M., Toma C.D., Kotz R. Endoprosthesis management of the extremities of children after resection of primary malignant bone tumors. Orthopade. 2003, v. 32 (11), p. 1013-1019.
16. Tillman R.M., Grimer R.J., Carter S.R. et al. Growing endoprosthesis for primary malignant bone tumours. Medical and pediatric oncology SIOP XXVIII Meeting. Vienna, 1996, v. 27, No. 4, p. 248.
17. Yang Yi, Guo Wei, Yang Rongli. Semi-joint Prosthesis Replacement in Treatment of Children's Malignant Tumor around Knee. 14th International Symposium on Limb Salvage. Hamburg, Germany, 2007, p. 187.
Review
For citations:
Vyrva O.E., Baev V.V. Step by step endoprostheses replacement technique in children with bone tumors of knee joint. Bone and soft tissue sarcomas, tumors of the skin. 2013;(3):10-16. (In Russ.)
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