Stump lengthening after hip disarticulation using a modular endoprosthesis in 5 patients.
To reduce the disability after hip disarticulation, we developed a special surgical procedure in patients having a proximal femoral tumor with a large tumor involving the sciatic nerve or neoplasms involving the tibia and femur. The hip was disarticulated, but we preserved a musculocutaneous flap. A modular endoprosthesis was then placed in the acetabulum or, in case of an extraarticular resection of the hip joint, it was placed in the iliac bone. A trevira tube was used for reconstruction of the joint capsule and fixation of soft tissues. We performed this procedure in 5 patients who had a good functional outcome.
Gosheger
G
G
Department of Orthopaedics, Westfälische Wilhelms-Universität, Münster, Germany. goshegg@uni-muenster.de
Hillmann
A
A
Rödl
R
R
Ozaki
T
T
Gebert
C
C
Winkelmann
W
W
D000293:Adolescent; D000328:Adult; D005266:Femoral Neoplasms / Q000601:surgery*; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D019637:Orthopedic Procedures; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures