SynthesisDer Unfallchirurg2014
[Management of complications in megaprostheses].
Synthesis in Der Unfallchirurg, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
14 citing papers in PubMed.
- Surgical treatment of pathological femoral neck fracture ending in push-through total femoral endoprosthesis. A case report.GMS Interdisciplinary plastic and reconstructive surgery DGPW · 2025Article
- Surgical Management of Periprosthetic Joint Infections in Hip and Knee Megaprostheses.Medicina (Kaunas, Lithuania) · 2024Review
- Risk factors for peri-megaprosthetic joint infections in tumor surgery: A systematic review.SICOT-J · 2024Article
- Subtotal diaphyseal replacement of the femur with modular mega-endoprosthesis following interprosthetic fracture. A case report.GMS Interdisciplinary plastic and reconstructive surgery DGPW · 2024Article
- Management of complications of mega-implants following treatment of primary and periprosthetic fractures of the lower extremities.Scientific reports · 2023Article
- Infections of Tumor Prostheses: An Updated Review on Risk Factors, Microbiology, Diagnosis, and Treatment Strategies.Biology · 2023Review
- [Mega-prostheses in revision knee arthroplasty].Der Orthopade · 2021Review
- [Distal femur replacement in extensive defects of the distal femur in revision arthroplasty].Operative Orthopadie und Traumatologie · 2020Article
- [Complication profile and revision concepts for megaprosthetic reconstruction following tumour resection at the hip].Der Orthopade · 2020Review
- [Challenges to endoprosthetic reconstruction after tumor resection around the knee : Management of intra- and postoperative complications].Der Orthopade · 2020Review
- [Management of complications following tumor endoprosthetic replacement].Der Orthopade · 2019Review
- Management of infection following reconstruction in bone tumors.Journal of clinical orthopaedics and trauma · 2015Review
- [Tumor prostheses : Important in modern revision arthroplasty].Der Orthopade · 2015Article
- Application and Development of Megaprostheses in Limb Salvage for Bone Tumors Around the Knee Joint.Cancer control : journal of the Moffitt Cancer CenterArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMegaprostheses are frequently used after segmental resection of bone sarcomas, bone metastases, and in large osseous defects in revision arthroplasty.
objectivesThe incidence of the most common complications associated the use of megaprostheses are reported. The management of complications including therapeutic recommendations are described. MATERIALS AND
methodsThe current knowledge and our own experience of complication management with the use of megaprostheses are presented.
resultsProspective, randomized studies or meta-analyses on this topic are lacking. An analysis of the literature shows that beside the occurrence of a local recurrence, periprosthetic infection remains the most serious complication. Two-stage revision remains the gold standard, but a single-stage exchange of the prosthesis without removing the stems might be possible in selected cases. Infection is associated with a higher risk of secondary amputation. In contrast, mechanical failures (e.g., wear of the bushings in knee replacements and aseptic loosening of the stems) can be treated more easily. Dislocation of a proximal femur replacement can mostly be prevented by using bi- or tripolar cups.
conclusionsComplications with the use of megaprostheses can be successfully treated by revision surgery in most cases.
Indexed as
Identifiers
25030960What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.