Abstract
Aim: The long- term results of selective patients undergoing resection of primary malignant tumours followed by allograft arthrodesis of the hip supplemented by vascularised þbula were prospectively studied. Patients and methods: 8 patients underwent resection of the primary malignant tumor of the proximal femur followed by reconstruction with allograft arthrodesis and vascularised þbular graft. The patients were clinically assessed by MSTS functional scoring system and radiologically assessed at regular intervals. All the patients were male with a mean age of 29 years (range18–39). The diagnoses included, Ewingñs sarcoma in three patients, Osteosarcoma and MFH in two patients each and Chondrosarcoma in one patient. Results: 2 patients died of extensive systemic disease without any local recurrence. At a mean follow-up was 112 months (range 28–153), the remaining six patients scored good or excellent in the MSTS scoring system and are engaged in physically active occupations. Radiologically, in three cases there was evidence of fracture of the allograft with loosening of the screws holding the plates but without the failure of the construct. The þbular graft hypertrophied with time in all the cases. Conclusions: Our experience clearly indicates that resection arthrodesis of the hip with allograft supplemented by vascularised þbula is a useful limb salvage procedure with the þbula hypertrophying slowly with time. This is especially so in carefully selected physically active patients who have poor long-term survival with resection followed by custom-made prosthesis.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
