Limb Salvage: Major Reconstructions in Oncologic and Nontumoral Conditions 5th International Symposium, St. Malo ISOLS-GETO

Front Matter....Pages i-xxxi
Front Matter....Pages 1-1
The Clinical Use of Frozen Cadaveric Allografts in the Management of Bone Tumors: An Overview....Pages 3-7
Morphological Investigations of Osteochondral Allografts....Pages 9-15
Isotope Metabolism and Biochemistry of Massive Osteoarticular Allografts....Pages 17-23
The Development of a Size and Shape Matching Index for Osteochondral Allografts....Pages 25-31
Radiation Sterilized Bone Allografts: Banking Procedure and Clinical Results After 150 Massive Allografts....Pages 33-39
Allograft Replacement in Aggressive and Malignant Bone Tumors: A Long-Term Study....Pages 41-45
Massive Intercalary Allografts in the Reconstruction of Segmental Bone Defects....Pages 47-55
Osteoarticular Allograft Reconstruction of the Proximal Humerus Following Limb-Sparing Surgery....Pages 57-65
Allografts in Bone Tumor Surgery: Short-Term Results....Pages 67-73
Technical Aspects and Surgical Complications of Segmental Allografts Following Segmental Resections of Malignant Bone Tumors....Pages 75-87
Complications of Fresh Frozen Bone Allografts for Tumor Reconstruction and Their Management....Pages 89-94
Segmental Allograft Reconstruction Concomitant with Neoadjuvant Chemotherapy....Pages 95-99
Evaluation of Allograft Fixation....Pages 101-105
Chemotherapy Effect on the Clinical Results of Allograft Transplantation in the Treatment of Malignant Bone Tumors....Pages 107-115
Bone Union in Allografts: Chemotherapy Considerations....Pages 117-119
Treatment of Complications in Intercalary and Terminal Allografts....Pages 121-124
Complications in Hemipelvic Resection/Allograft Reconstruction for Bone Sarcomas: Are They Prohibitive to Limb Salvage?....Pages 125-138
Front Matter....Pages 139-139
Benign Aggressive Bone Lesions: Marginal Resection plus Methylmethacrylate — A Long-Term Appraisal....Pages 141-145
Polymethylmethacrylation in the Treatment of Giant Cell Tumors....Pages 147-153
Acrylic Cementation Techniques in the Treatment of Metaphyseal Tumors of Bone....Pages 155-161
Front Matter....Pages 139-139
Antimitotic-Loaded Acrylic Cement....Pages 163-167
Bioartificial Hydroxyapatite Implants....Pages 169-173
Reconstruction of Bone Defects....Pages 175-183
Calcium Hydroxyapatite Ceramic: Use in Bone Tumor Surgery....Pages 185-191
Implant of Biphasic Ceramic (Tricalcium Phosphate/Hydroxyapatite) in Cystic Cavities After Bone Tumor Curettage: Preliminary Results....Pages 193-195
Front Matter....Pages 197-197
Orthopaedic and Plastic Reconstruction of Large Bone and Soft Tissue Defects....Pages 199-206
Functional Coverage of the Shoulder Through Transfer of a Latissimus Dorsi Musculocutaneous Flap After Wide Excision of Malignant Bone Tumors....Pages 207-211
Free Tissue Transfer in Conjunction with Limb-Sparing Prosthetic Replacement for Sarcomas Around the Knee....Pages 213-218
Reconstructive Plastic Procedures in Recurrent Soft Tissue Sarcomas of the Extremities....Pages 219-223
Free Vascularized Fibular Graft for Skeletal Defect Reconstruction After Tumor Resection....Pages 225-231
Local Pedicular Vascularized Bone Graft in Reconstruction Around the Knee....Pages 233-240
Treatment of Tibial Defects and Nonunions Using Ipsilateral Vascularized Fibular Transposition....Pages 241-246
Front Matter....Pages 247-247
Introduction....Pages 249-249
Intramedullary Fixation of Massive Prostheses Using Acrylic Cement: A Retrieval Study....Pages 251-256
Long-Term Radiographic Evaluation of Massive Proximal Femoral Replacements....Pages 257-262
Segmental Total Hip and Knee Replacement:A Long-Term Review....Pages 263-270
Polyethylene Endoprostheses for the Treatment of Malignant Bone Tumors: A Long-Term Follow-Up Study....Pages 271-275
Long-Term Follow-Up of Walldius-Hinged Total Knee Arthroplasties....Pages 277-284
Endoprosthetic Replacements of the Proximal Tibia....Pages 285-292
The Effect of Chemotherapy on Uncemented Prosthetic Replacement....Pages 293-301
Front Matter....Pages 247-247
Effects of Adjuvant Local X-Ray Therapy on the Functional Result of Prosthetic Knee Replacement for Malignant Bone Tumors....Pages 303-305
Summary....Pages 307-307
Front Matter....Pages 309-309
A Challenge to Osteointegrable Tumor Prosthesis....Pages 311-317
The Bone-Cement Interface in Long-Standing Prosthetic Implants....Pages 319-328
Histomorphological Findings in Different Cementless Anchored Humerus Prostheses....Pages 329-334
Comparison of Autogenous Cortical Graft and Demineralized Allogenic Bone Matrix (DABM) in the Fixation of Segmental Prosthesis....Pages 335-343
Experience with Extracortical Fixation of Large Segmental Prostheses and Description of a Modular Segmental Replacement System (MSRS)....Pages 345-354
Design Characteristics of Knee Joints for Limb Salvage Devices....Pages 355-361
Effect of Therapeutic Irradiation on Extracortical Fixation and Bone Ingrowth in an Autogenously Bone Grafted Segmental Defect Prosthesis....Pages 363-368
Telemetry of Strain In Vivo from a Proximal Femoral Replacement....Pages 369-377
Hemipelvic Endoprosthetic Replacement....Pages 379-384
Front Matter....Pages 385-385
Composite Prostheses in Malignant Tumors: Rationale and Preliminary Results of 42 Cases....Pages 387-394
Muscle Reattachment — Especially the Gluteal Muscles — After Proximal Femoral Resection and Replacement by Tumor Prosthesis....Pages 395-398
Dacron Fabric Enveloped Alumina Ceramic Prosthesis for Large Bone Defects....Pages 399-405
Allograft Prosthetic Composite Arthroplasty for Limb Salvage and Revision Arthroplasty....Pages 407-414
Radiation Sterilized Proximal Femur Massive Allografts After Tumor Surgery: A Preliminary Report....Pages 415-421
Allograft-Prosthesis Combinations in Limb Salvage Surgery....Pages 423-427
Contribution of Allografts in Prosthetic Surgery....Pages 429-433
Allograft with Patellar Tendon in Reconstructive Procedures After Upper Tibia Resection....Pages 435-437
Incidence of Adjuvant Radiotherapy and Chemotherapy and Infection in Massive Composite Allograft Prostheses....Pages 439-443
Front Matter....Pages 445-445
Introduction: Reoperation Following Prosthetic Replacement....Pages 447-448
Reoperation of Failed Prosthetic Replacement for Limb Salvage....Pages 449-455
Salvage Procedures for Failed Total Hip Prostheses Implanted After Tumor Resection....Pages 457-463
Management of the Failed Segmental Knee Replacement....Pages 465-470
An Individualized Design Approach for Revising Total Knee Hinges....Pages 471-478
Management of Failed Endoprosthetic Implants: The UCLA Experience....Pages 479-486
Management of Failed Segmental Hip and Knee Implants....Pages 487-492
Management of Failed Megaprostheses After Limb-Saving Surgery....Pages 493-495
Influence of Chemotherapy on Perioperative Complications in Limb-Salvage Surgery for Bone Tumors....Pages 497-507
Conclusion: Reoperation Following Prosthetic Replacement....Pages 509-510
Front Matter....Pages 511-511
Limb Salvage in Pediatric Patients (Round Table)....Pages 513-515
Effect of Chemotherapy on Growth in the Skeletally Immature Individual....Pages 517-525
Van Nes Rotationplasty in Skeletally Immature Patients with Malignant Sarcoma of the Lower Extremity....Pages 527-529
Lymph Scintigraphy in Patients After Rotationplasty....Pages 531-535
Adaptation of the Ankle Joint After Rotationplasty in Children....Pages 537-541
Arthrodeses After Malignant Bone Tumor Resection in Children....Pages 543-551
Reconstruction After Large Bone Shaft Resection for Humerus, Femur, and Tibia Sarcomas: Autograft or Allograft Reconstitution?....Pages 553-556
Cemented Prosthetic Replacement for Children with Primary Bone Sarcomas: Results and Growth Problems....Pages 557-560
Bone Allografts for Tumors and Other Reconstructions in Children....Pages 561-572
Growing Endoprosthetic Replacements for Malignant Tumours....Pages 573-578
Front Matter....Pages 511-511
The Expandable Adjustable Prosthesis: An Alternative to Amputation in Growing Children with Malignant Tumors of the Extremities....Pages 579-584
Expandable Endoprostheses for the Skeletally Immature: The Initial UCLA Experience....Pages 585-590
Endoprostheses in Children — First Results....Pages 591-599
Remodelling of Bone Around Massive Prostheses Used in Growing Patients....Pages 601-608
In Vitro and In Vivo Experiments of a Lengthening Element for a Modular Femur Endoprosthetic System....Pages 609-612
Conclusions of Limb Salvage in Pediatric Patients (Round Table)....Pages 613-615
Front Matter....Pages 617-617
Limb Salvage with the Intraoperatively Irradiated Tumor Tissues Preserved In Situ in Osteosarcoma....Pages 619-625
Limb Conservation in Primary Bone Tumors by Resection, Extracorporeal Irradiation and Reimplantation: Results and Complications of the Technique in 27 Patients....Pages 627-638
Developments of Interlocking Nailings in Limb Salvage Surgery: Endolock and TD Nails....Pages 639-644
Segmental Resection of Thigh for Osteosarcoma of Distal Part of Femur....Pages 645-654
En Bloc Sacral Resection or Total Sacrectomy....Pages 655-661
Prosthetic Reconstruction Following Internal Hemipelvectomy: Clinical Results and Improvement of Pelvic Tumor Prosthesis....Pages 663-669
Reconstruction of the Tibia by Dual Grafting: Report of Three Cases....Pages 671-674
Primary Stabilization Procedures for Large Osteoperiosteal Gaps Following Tumor Resections....Pages 675-686
Front Matter....Pages 687-687
Treatment of Metastatic Disease Involving the Proximal Femur and Hip Joint....Pages 689-696
Use of Megaprostheses in the Treatment of Metastatic Bone Disease....Pages 697-699
Pitfalls in the Management of Metastatic Disease of the Femur....Pages 701-709
Metastatic Carcinoma of the Spine with Neurological Complications: An Autopsy Review....Pages 711-715
Surgical Treatment of Vertebral Metastases....Pages 717-724
Score Assessment of Metastatic Bone Tumor for Operative Treatment....Pages 725-732
Front Matter....Pages 687-687
Allograft Reconstruction for Bone Metastases....Pages 733-740
Prosthetic Replacement in the Treatment of Bone Metastases....Pages 741-749
Vertebral Metastasis - Natural History and Treatment....Pages 751-756
Surgical Treatment of Bone Metastases....Pages 757-762
Front Matter....Pages 763-763
Role of Electroradiography in the Evaluation of Preoperative Treatment for Primary Malignant Bone Tumors....Pages 765-768
Magnetic Resonance Imaging in Evaluating In Vivo Response to Neoadjuvant Chemotherapy for Osteogenic Sarcomas....Pages 769-773
Radiographic Evaluation of the Response of Osteosarcoma to Induction Chemotherapy....Pages 775-780
Recurrence Detection of Malignant Mesenchymal Neoplasms in MRI and CT....Pages 781-787
Contribution of Magnetic Resonance Imaging in the Evaluation of Tumor Extension and in the Follow-Up During Chemotherapy in an Undifferentiated Osteogenic Sarcoma: A Case Report....Pages 789-793
Osteosarcoma: Evaluation of Prognosis by Flow Cytometry....Pages 795-798
High Resolution Radiography of Bone Tumor Resection Specimens....Pages 799-806
Single Photon Emission Computed Tomography (SPECT) Analysis of Allograft Revascularization....Pages 807-814
Suitability of MRI for the Selection of Osteochondral Allograft Bone....Pages 815-823
Back Matter....Pages 825-826