title: Stump lengthening after hip disarticulation using a modular endoprosthesis in 5 patients.
abstract: 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.
authors.affiliation: Department of Orthopaedics, Westfälische Wilhelms-Universität, Münster, Germany. goshegg@uni-muenster.de
authors.forename: G
authors.initials: G
authors.lastname: Gosheger
authors.forename: A
authors.initials: A
authors.lastname: Hillmann
authors.forename: R
authors.initials: R
authors.lastname: Rödl
authors.forename: T
authors.initials: T
authors.lastname: Ozaki
authors.forename: C
authors.initials: C
authors.lastname: Gebert
authors.forename: W
authors.initials: W
authors.lastname: Winkelmann
mesh_terms: 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