Trochanter/calcar preserving reconstruction in tumors involving the femoral head and neck

• 作者: Hwan Seong Cho Kyung-Hoi Koo Yong-Chan Ha Young-Kyun Lee
• 来源期刊: 世界骨科杂志
• 学科: 医学
• 关键词: Total HIP ARTHROPLASTY RECONSTRUCTION Tumor FEMORAL head
• 年，卷（期）: 2016,（7）
• 页码范围: 442-447
• 页数: 6页
• 分类号: R

摘要

AIM:To evaluate the results of hip reconstruction with extensive excision for tumor confined to the femoral head and neck.METHODS:We designed a resection preserving the greater trochanter and lower portion of calcar femorale,and utilized conventional total hip prosthesis.We retrospectively reviewed 7 patients,who underwent a wide resection and reconstruction using conventional hip prosthesis.There were 3 men and 4 women and their mean age was 42.5 years(22 to 65 years).The histologic diagnosis of each patient was low-grade osteosarcoma,diffuse large B-cell lymphoma,liposclerosing myxofibroma,intraosseous lipoma,chondroblastoma,giant cell tumor and focal intramedullary fibrosis.RESULTS:One patient with lymphoma died due to disease dissemination at 10 mo postoperatively and the remaining 6 patients were followed for a mean of 4.7 years(3 to 6 years).All patients were able to return to their daily activities and no patient had local recurrence.No radiographic signs of loosening,wear,and osteolysis were found at the last follow-up.CONCLUSION:Trochanter/calcar-preserving resection of the proximal femur and reconstruction using conventional total hip prosthesis,is a satisfactory treatment for tumors confined to the femoral head and neck.