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Updated: Jan 23, 2026
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The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
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Hip megaprosthesis in oncological surgery: open questions
M S Oliva1,2, G Masci1,2, R Vitiello1,2
1Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia.
Summary
Modular implants are common for lower limb bone loss after tumor removal. This review examines current literature on megaprosthesis use, including silver coatings and Trevira tubes, addressing ongoing questions in reconstructive surgery.
Area of Science:
- Orthopedic Surgery
- Oncology
- Biomaterials Science
Background:
- Modular implant-based prosthetic replacement is the standard for lower limb bone loss post-tumor resection.
- Uncertainty exists regarding optimal megaprosthesis utilization, including silver-coated implants and Trevira tubes.
Purpose of the Study:
- To review current literature on the use of megaprostheses in lower limb reconstruction after tumor resection.
- To address unresolved questions concerning specific megaprosthesis components and materials.
Main Methods:
- Systematic literature review of studies on megaprosthesis use in orthopedic oncology.
- Analysis of data concerning bone metastasis, silver-coated implants, and Trevira tubes.
Main Results:
- The use of megaprostheses, particularly with silver coatings and Trevira tubes, varies significantly in current practice.
- There is a lack of uniform guidelines for these specific reconstructive techniques.
Conclusions:
- Further research is needed to establish evidence-based guidelines for megaprosthesis selection and application.
- Standardization of techniques involving silver-coated megaprostheses and Trevira tubes could improve reconstructive outcomes.
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