title: Artificial fusion of the knee joint with intramedullary nail and acrylic cementation following radical excision for tumor.
abstract: Extensive local excisions of skeletal tumors in the knee region create reconstruction problems with several alternative solutions. Custom-made endoprostheses now compete with joint homografts and fusion with autogenous bone-grafts. Artificial fusion utilizing an extra long Küntscher-nail and acrylic cement as a spacer is a fourth possibility with the advantages of immediate ambulation and weight-bearing, here presented in two cases. The expected disadvantages of loosening in long time survivors can be taken care of using one of the above-mentioned alternatives. This revision can be made after completion of adjunctive chemotherapy or later when called for by the occurrence of pain or instability.
mesh_terms: D000328:Adult; D000368:Aged; D001843:Bone Cements / Q000008:administration & dosage*; D005260:Female; D005266:Femoral Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D005870:Giant Cell Tumors / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D014945:Wound Healing
chemical_list: D001843:Bone Cements