title: Temporary hemiarthroplasty with a synthetic device in children with osteosarcoma around the knee as a bridging procedure until skeletal maturity.
abstract: BACKGROUND
  We hypothesized that hemiarthroplasty with a synthetic device in skeletally immature patients with osteosarcoma around the knee would be functional due to high adaptability in the pediatric age group, and may decrease the number of surgeries until limb equalization by preserving the nearby physis.
  
  
  METHODS
  We analyzed the outcomes of 25 hemiarthroplasties (12 distal femur, 13 proximal tibia). Average patient age was 11.8 years. We assessed (1) whether hemiarthroplasty could be considered as a viable option and could preserve growth of the nearby physis, and (2) whether these patients could reach the final goal of adult-type tumor prosthesis implantation within a preplanned number of surgeries.
  
  
  RESULTS
  Three (12%) of 25 hemiarthroplasties showed failure. Average Musculoskeletal Tumor Society functional score of 23 patients was 25.1. Average tibial and femoral shortening for the corresponding reconstruction was 0.3 cm and 0.5 cm, respectively. In terms of number of surgeries for limb equalization, 19 patients (76%) had less, four (16%) had equal, and two (8%) had more surgeries than planned.
  
  
  CONCLUSIONS
  Hemiarthroplasty is a sound option until skeletal maturity, allowing surgeons to choose the appropriate procedure based on the patient's growth status, and may reduce the amount of shortening by preserving nearby physis.
authors.affiliation: Department of Orthopedic Surgery, Kosin University Gospel Hospital, Busan, Korea.
authors.forename: So Hak
authors.initials: SH
authors.lastname: Chung
authors.affiliation: Department of Orthopedic Surgery, Korea Cancer Center Hospital, Seoul, Korea.
authors.forename: Dae-Geun
authors.initials: DG
authors.lastname: Jeon
authors.affiliation: Department of Orthopedic Surgery, Korea Cancer Center Hospital, Seoul, Korea.
authors.forename: Wan Hyeong
authors.initials: WH
authors.lastname: Cho
authors.affiliation: Department of Orthopedic Surgery, Korea Cancer Center Hospital, Seoul, Korea.
authors.forename: Won Seok
authors.initials: WS
authors.lastname: Song
authors.affiliation: Department of Orthopedic Surgery, Korea Cancer Center Hospital, Seoul, Korea.
authors.forename: Chang-Bae
authors.initials: CB
authors.lastname: Kong
authors.affiliation: Department of Orthopedic Surgery, Korea Cancer Center Hospital, Seoul, Korea.
authors.forename: Sang Hyun
authors.initials: SH
authors.lastname: Cho
authors.affiliation: Department of Orthopedic Surgery, Korea Cancer Center Hospital, Seoul, Korea.
authors.forename: Bum Suk
authors.initials: BS
authors.lastname: Kim
authors.affiliation: Department of Orthopedic Surgery, Korea Cancer Center Hospital, Seoul, Korea.
authors.forename: Soo-Yong
authors.initials: SY
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D001846:Bone Development; D001859:Bone Neoplasms / Q000601:surgery*; D002648:Child; D005260:Female; D005266:Femoral Neoplasms / Q000601:surgery*; D005500:Follow-Up Studies; D062785:Hemiarthroplasty; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D023821:Limb Salvage; D008297:Male; D012516:Osteosarcoma / Q000601:surgery*; D011379:Prognosis; D011446:Prospective Studies; D019919:Prosthesis Implantation; D055815:Young Adult
keywords: hemiarthroplasty; leg length discrepancy; osteosarcoma; skeletally immature