Abstract

INTRODUCTION

Effective chemotherapeutics and technologic developement made limb salvage procedures available instead of amputation in malignant bone tumour therapy.

METHODS

240 patients treated with the diagnosis of malign bone tumor of proximal femur with proximal femoral resection endoprothesis in Ankara Oncology Hospital between January 2003 and June 2016 are included in this retrospective study.

RESULTS

Among these 240 patients 121(50,4%) were male and 119(49,6%) were female. The mean age in the diagnosis was 53,6(14-82),the affected extremity was left in %50,6(118) and right in %49,4 (122). The mean follow up period was 29,3 months(1-155months). Fonctional evaluation was made by MSTS (Musculoskeletal Tumour Society) scoring system. The overall average MSTS score of patients discussed is %71,3. The avarage MSTS score of the primay malign bone tumors is %80,4, metastasis of the bone tumors is %67,4. The most important complications of proximal femoral resection arthroplasty is dislocation of the prothesis, and our results are similar to the literature. For a succesful endoprosthetic surgery must have a good soft tissue reconstruction, good capsule repair and effective abductor mechanısm repair.

DISCUSSION AND CONCLUSION

Although reconstructions by endoprostheses have early stage adventages of excellent functional results, they cause mechanical complications especially in young and active patients in mid and late stages. Good results may be expected from limb salvage surgery if life precedes comfort in decision making.