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Custom prosthetic replacement for distal radial tumours
Mayil Vahanan Natarajan1, Jagadesh Chandra Bose, J Viswanath
1Department of Orthopaedic Surgery, Government General Hospital, Chennai, India. drmayilnatarajan@gmail.com
International Orthopaedics
|February 27, 2009
Summary
Resection and prosthetic replacement effectively treated aggressive distal radius tumors in 24 patients. This method achieved good functional outcomes and high prosthesis survival rates, with infection being the main complication.
Area of Science:
- Orthopedic surgery
- Oncology
- Biomedical engineering
Background:
- Aggressive benign and malignant tumors of the distal radius require effective treatment strategies.
- Surgical resection followed by prosthetic reconstruction is a viable option for limb salvage.
Purpose of the Study:
- To evaluate the outcomes of distal radius tumor resection and prosthetic replacement.
- To assess functional scores, prosthesis survival, and complication rates.
Main Methods:
- Analysis of 24 cases of distal radius tumors treated between 1995 and 2006.
- Use of custom bipolar hinge mega prostheses for reconstruction.
- Average follow-up of 78 months.
Main Results:
- The average Musculoskeletal Tumor Society (MSTS) functional score was 75%.
- The ten-year prosthesis survival rate was 87.5%.
- Infection was the most frequent complication.
Conclusions:
- Resection and prosthetic replacement offer a successful treatment for distal radius tumors.
- This approach yields favorable functional results and long-term prosthesis durability.
- Managing complications, particularly infection, is crucial for optimal patient outcomes.
