Long Term Results of Limb Salvage With the Fabroni Custom Made Endoprosthesis

Fabroni, Roberto H.; Castagno, Aldo; Aguilera, Antonio L.; Steverlynck, Alejandro; Zeballos, Joaquin

doi:10.1097/00003086-199901000-00007

Cited by 26 publications

(27 citation statements)

References 2 publications

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“…These endoprostheses have predominantly a spacer function when function in the elbow and wrist is preserved. Our results are similar to those of Shin et al [19] and Fabroni et al [6]. In contrast, Wittig et al [21] obtained an MSTS score of 80-90% in 15 patients with a proximal humerus replacement.…”

Section: Discussionsupporting

confidence: 91%

“…3 Box plot of MSTS score, TESS and RNL indexes related to the self-assessment of physical impairment [16], Wittig et al [21], Kawai et al [11], Gerrand et al [8] and Rompen et al [17]. Only Fabroni et al [6] reported that patients with a proximal tibia replacement have a better functional outcome compared to distal femur replacement. This can probably be explained by the small number of cases.…”

Section: Discussionmentioning

confidence: 99%

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Functional outcome after endoprosthetic limb-salvage therapy of primary bone tumours—a comparative analysis using the MSTS score, the TESS and the RNL index

Tunn

Pomraenke

Goerling

et al. 2007

International Orthopaedics (SICO

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Limb-saving therapy for primary bone tumours is the treatment of choice. We aimed at analysing the quality of life of this group of patients by combining three different tools. Eighty-seven patients (46 females, 41 males) with a primary bone tumour of the extremity who had undergone endoprosthetic reconstruction between 1982 and 2000 were included in this retrospective study. The median age at the time of evaluation was 30 (12-73) years. The Toronto Extremity Salvage Score (TESS) and the Reintegration to Normal Living index (RNL) were recorded an average of 5.8 years after reconstruction and the Musculoskeletal Tumour Society Score (MSTS) after an average of 6.5 years. The mean MSTS score was 77% (13-93%). The mean TESS was 82% (22-99%), and the mean RNL index was 87% (32-98%). The subjective satisfaction and acceptance of physical impairment were significantly higher than the objective score (p<0.001). The TESS was 88% in patients aged 12-25 years, 81% in those aged 26-40 years and 57% in those aged 41-73 years. Parallel recording of the MSTS score, TESS and RNL index provides a better measure reflecting the complex situation of the patients by combining objective and subjective parameters.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Functional outcome after endoprosthetic limb-salvage therapy of primary bone tumours—a comparative analysis using the MSTS score, the TESS and the RNL index

Tunn

Pomraenke

Goerling

et al. 2007

International Orthopaedics (SICO

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“…Even if total femoral replacement surgery is technically less demanding that other complex reconstruction methods such as those using bone graft, it requires a meticulous pre-operative planning [5][6][7]13]. X-Ray measurements are extremely important [4,5,7].…”

Section: Preoperative Planningmentioning

confidence: 99%

“…In all patients, the Argentine custom made Fabroni megaprosthesis were used, which is manufactured by ROFA S.A [4][5][6]. (Pje.…”

Section: Prosthesis Characteristicsmentioning

confidence: 99%

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Total Femoral Replacement in Non-Neoplastic Disorders

Vedoya¹

2017

MOJOR

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Submit Manuscript | http://medcraveonline.com IntroductionThe deficit of femoral bone stock is a frequent finding. This situation is mostly derived from the increased number of hip and knee arthroplasties and the consequent increase of failed implants, periprosthetic fractures and infections. There are other non-tumoral causes that generate this type of deficit, such as hardware failures in pathological bone, osteomielytis, congenital bone defects and metabolic bone diseases, etc [1-3].Several solutions have been proposed, which must be analyzed depending on the cause and magnitude of the femoral and acetabular bone loss, the patient's muscle status (particularly the gluteus medius), the presence of infection, the age and background of the patient, and, of course, the surgeon's expertise and his surgical facilities. This last aspect is essential, as revision and conversion surgeries are very demanding, for both patient and surgeon.The most frequent alternatives include the use of cemented or non cemented long femoral stems, with proximal or distal fixation, associated or not to bone graft. Many studies have referred to the advantages and disadvantages of each of these treatment alternatives [2][3][4]. Nevertheless, in certain cases, the femoral bone deficit is so significant that there is not enough bone to properly fix any of these revision implants. In these patients, an option is the total hip replacement with a megaprosthesis, and among them, the total femur replacement (TFR) [4][5][6][7][8][9].Buchman was the first to report a total femur replacement in a patient with Paget´s disease 10 . The first total femur implants were made of hip and knee prosthesis united by a polyethylene shaft, to which these components were adapted [5,10]. Even if this was a low cost versatile design, in time it was observed that polyethylene alone was not an adequate material to bear the load and torsions at a femoral level, particularly in young patients with high functional demand, since most of the initial patients were operated due to tumours [4]. In the mid 80s, modularity revolutionized reconstruction prosthesis, allowing the surgeon to estimate the existing bone defect, and therefore select the appropriate components for more accurate reconstructive surgery [1,11].The good outcome of patients treated with TFR for neoplastic causes widened the indication of this treatment to patients with massive femoral bone loss due to several non-neoplastic causes, not being the estimated survivorship of the patient an excluding factor in the decision process [12]. However, except for the publications from Endo-Klinik in Hamburg, Germany, which exceed 100 cases [7], the rest of TFR reports in non-neoplastic pathology analyze around 20 cases at the most. Additionally, in all these series the pre-operative diagnosis is varied, making it difficult to obtain from them a clear conclusion on the evolution of these patients on the medium and long term. In this study we evaluate the indications, surgical technique and post operative care of TFR ...

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