title: Revisions of endoprosthetic reconstructions after limb salvage in musculoskeletal oncology.
abstract: Of 91 limb-salvage procedures using prosthetic reconstructions because of primary or metastatic bone and soft-tissue tumors 26 revisions were performed in 16 patients. Revision was due to polyethylene wear (9 cases), aseptic loosening (8 cases), recurrent hip dislocation (3 cases), prosthetic stem fracture (2 cases), infection (2 cases), leg length discrepancy (1 case), and traumatic dislocation of a saddle prosthesis (1 case). The follow-up period for tumor control varied from 1.5 to 22 years with a median of 13.5 years. The follow-up period after the last revision operation varied from 0.5 to 12 years with a median of 3 years. At the last follow-up, the functional results had deteriorated compared with after the primary operation in 5 patients and had improved in 2 patients. In the remaining patients, the results did not change.
authors.affiliation: Department of Orthopaedics, Nijmegen University Hospital, The Netherlands.
authors.forename: A J
authors.initials: AJ
authors.lastname: Renard
authors.forename: R P
authors.initials: RP
authors.lastname: Veth
authors.forename: H W
authors.initials: HW
authors.lastname: Schreuder
authors.forename: H
authors.initials: H
authors.lastname: Schraffordt Koops
authors.forename: J
authors.initials: J
authors.lastname: van Horn
authors.forename: A
authors.initials: A
authors.lastname: Keller
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D002648:Child; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019042:Muscle Neoplasms / Q000473:pathology / Q000601:surgery*; D009426:Netherlands; D011379:Prognosis; D011475:Prosthesis Failure; D019919:Prosthesis Implantation / Q000009:adverse effects*; D012086:Reoperation; D016896:Treatment Outcome