Clinical experience of novel interconnected porous hydroxyapatite ceramics for the revision of tumor prosthesis: a case report.
BACKGROUND
As for being cautious with tumor prostheses, revision of uncemented tumor prostheses in particular, it is necessary to remove cortical bone from the stem circumference with a chisel when the stem is extracted. This assures that bone in-growth will occur within the stem in itself. As a result, re-substitution of mass autogenous bone graft round a new stem is subsequently necessary. When rivision of uncemented tumor prosthesis of distal femur was performed, we evade fibula transplant by transplanting interconnected porous hydroxyapatite ceramic (IP-CA: Neobone) with a self bone, and reports its experience with the case that acquired enough strength.


METHODS
In this report, we present the case of a 27-year-old female with stem breakage of tumor prosthesis and do revision surgery for prosthetic failure. In the case of revision surgery, autologous bone and Neobone were mixed, and this was transplanted to stem circumference. The Radiological Evaluation System of the ISOLS showed excellent results for all items. She can walk without using a cane or orthosis, and the score of the MSTS is 80%.


CONCLUSIONS
When revision of uncemented tumor prostheses of the distal femur was performed, we avoided fibula graft by using Neobone with the patient's own bone tissue. Our experience with this case may indicate that adequate strength is achieved.
Department of Orthopedic Surgery, Nihon University School of Medicine, Tokyo, Japan. yyoshida@med.nihon-u.ac.jp
Yukihiro
Y
Yoshida
Shunzo
S
Osaka
Yasuaki
Y
Tokuhashi
D000328:Adult; D001843:Bone Cements; D016025:Bone Transplantation; D002516:Ceramics; D005260:Female; D005266:Femoral Neoplasms / Q000601:surgery*; D006801:Humans; D006882:Hydroxyapatites / Q000627:therapeutic use*; D012516:Osteosarcoma / Q000601:surgery*; D019736:Prostheses and Implants; D011475:Prosthesis Failure; D012086:Reoperation; D016896:Treatment Outcome
D001843:Bone Cements; D006882:Hydroxyapatites; C475044:hydroxyapatite cement