Preliminary results of a new intercalary modular endoprosthesis for the management of diaphyseal bone metastases

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dc.contributor.authorBuyukdogan, Kadir
dc.contributor.authorGoker, Barlas
dc.contributor.authorTokgozoglu, Mazhar
dc.contributor.authorInan, Ulukan
dc.contributor.authorOzkan, Korhan
dc.contributor.authorColak, Tahsin Sami
dc.contributor.authorAslan, Lercan
dc.date.accessioned2024-02-23T14:41:23Z
dc.date.available2024-02-23T14:41:23Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractObjectives: This study aims to evaluate functional outcomes of patients and to analyze complication rates of modular intercalary endoprosthetic reconstruction after resection of metastatic diaphyseal bone lesions. Patients and methods: Between December 2017 and February 2020, 22 patients (15 males, 7 females; median age: 64.2 years; range, 49 to 91) who underwent reconstruction with modular intercalary endoprostheses for metastatic bone tumors at five different centers were retrospectively analyzed. Age, sex, diagnosis, follow-up duration, previous treatments of patients, and resection lengths were recorded. The Musculoskeletal Tumor Society Scores (MSTS) were used to assess functional status of available patients at the final follow-up. Failures were categorized according to the Henderson classification. Results: Locations of the resected tumors included 10 humeri (45.5%), five tibiae (22.7%), and seven femurs (31.8%). The length of the resected tissues ranged from 35 mm to 180 mm. Seven patients (31.8%) died of disease, and one patient died of pneumonia within follow-up period. The functional outcomes of surviving patients were satisfying with a median MSTS score of 86.9% (range, 70 to 100%) at a median follow-up of 17 months (range, 8 to 26). There were two cases of type II (9%), one cases of type IIIa (4.5%), two cases of type IIIb (9%), and one case of type IV (4.5%) failure. Complications were most commonly observed in tibial reconstructions. Conclusion: The good short-term functional results were achieved in surviving patients. Uncomplicated patients were able to perform daily living activities without limitations. The overall rate of complications was relatively low and, among them, mechanical problems were the most commonly encountered problems.en_US
dc.identifier.doi10.52312/jdrs.2021.51
dc.identifier.endpage720en_US
dc.identifier.issn2687-4784
dc.identifier.issn2687-4792
dc.identifier.issue3en_US
dc.identifier.pmid34842104en_US
dc.identifier.scopus2-s2.0-85121218251en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage713en_US
dc.identifier.urihttps://doi.org/10.52312/jdrs.2021.51
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16834
dc.identifier.volume32en_US
dc.identifier.wosWOS:000719646100001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Joint Diseases Foundationen_US
dc.relation.ispartofJoint Diseases And Related Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDiaphyseal Bone Metastasesen_US
dc.subjectEndoprosthesisen_US
dc.subjectIntercalary Modular Endoprosthesisen_US
dc.subjectModular Tumor Prosthesisen_US
dc.titlePreliminary results of a new intercalary modular endoprosthesis for the management of diaphyseal bone metastasesen_US
dc.typeArticleen_US

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