Outcome of Endoprosthesis used in Limb Salvage Surgery in a Malaysian Orthopaedic Oncology Centre
https://doi.org/10.5704/MOJ.2403.008
- Author:
Ng YH
1
;
Chai YC
2
;
Mazli N
3
;
Jaafar NF
1
;
Ibrahim S
1
Author Information
1. Department of Orthopaedic, Hospital Sultan Ismail, Johor Bahru, Malaysia
2. General Psychiatry Division, Hospital Permai Johor Bahru, Johor Bahru, Malaysia
3. Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
- Publication Type:Journal Article
- Keywords:
primary bone tumour, secondary bone metastasis, endoprosthesis reconstruction
- From:Malaysian Orthopaedic Journal
2024;18(No.1):60-65
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: To describe the duration of survival among
bone tumour patients with endoprosthesis reconstruction and
to determine frequency of implant failure, revision of
surgery, and amputation after endoprosthesis reconstruction.
Materials and methods: A retrospective cross-sectional
review of all patients with either primary bone tumour or
secondary bone metastases treated with en bloc resection and
endoprosthesis reconstruction from January 2008 to
December 2020.
Results: A total of 35 failures were recorded among the 27
(48.2%) patients with endoprostheses. Some of the patients
suffered from one to three types of modes of failure on
different timelines during the course of the disease. Up to
eight patients suffered from more than one type of failure
throughout the course of the disease. Out of all modes of
failure, local recurrence (type 5 failure) was the most
common, accounting for 25.0% of all failure cases. Four
patients (7.1%) eventually underwent amputation, which
were either due to infection (2 patients) or disease
progression causing local recurrence (2 patients).
Conclusion: The overall result of endoprosthesis
reconstruction performed in our centre was compatible with
other centres around the world. Moreover, limb salvage
surgery should be performed carefully in a selected patient
group to maximise the benefits of surgery.
- Full text:202408071551542036216.2024my1352.pdf
