Related Experiment Videos
Reconstruction by Grosse-Kempf nailing in resections for bone tumor
D Tigani1, D Donati, M Moscato
1Clinica Ortopedica dell'Università di Bologna, Istituti Ortopedici Rizzoli.
La Chirurgia Degli Organi Di Movimento
|January 1, 1996
Summary
Grosse-Kempf nailing for bone tumor reconstruction showed 76% satisfactory results. Autoplastic grafting and gyroplasty led to better outcomes and fewer complications compared to massive homoplastic bone grafts.
Area of Science:
- Orthopedic Surgery
- Oncology
- Biomaterials
Background:
- Bone tumor resection often necessitates complex reconstructive procedures.
- Grosse-Kempf nailing is one technique employed for limb salvage and reconstruction.
- Grafting materials and techniques significantly influence reconstructive outcomes.
Purpose of the Study:
- To evaluate the efficacy and complication rates of Grosse-Kempf nailing in 38 patients undergoing bone tumor resection.
- To compare outcomes based on different reconstruction methods (intercalar resection, arthrodesis, gyroplasty) and graft types (homoplastic, autoplastic, cement).
Main Methods:
- Retrospective analysis of 38 patients treated with Grosse-Kempf nailing for bone tumor resection.
- Categorization of procedures into intercalar resections, knee arthrodeses, ankle arthrodeses, and gyroplasty.
- Analysis of graft types: massive homoplastic bone graft, autoplastic grafts, and cement spacers.
- Evaluation of final results, secondary surgeries, and complications including non-unions and infections.
Main Results:
- Overall, 76% of patients achieved satisfactory results.
- Massive homoplastic bone grafting was associated with the highest rates of non-union (11 in intercalar, 7 in knee arthrodesis).
- Autoplastic grafting and gyroplasty demonstrated better outcomes with lower complication incidence.
Conclusions:
- Grosse-Kempf nailing can achieve satisfactory results in bone tumor reconstruction, but graft choice is critical.
- Autoplastic grafts and gyroplasty appear superior to massive homoplastic grafts, offering better consolidation and fewer complications.
- Challenges remain in achieving absolute stiffness and optimal contact with blocked intramedullary nailing, though micromovements with certain techniques aid consolidation.