ArticleJournal of clinical medicine2020
En-Bloc Resection of Metastases of the Proximal Femur and Reconstruction by Modular Arthroplasty is Not Only Justified in Patients with a Curative Treatment Option-An Observational Study of a Consecutive Series of 45 Patients.
Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Proximal femoral tumor resection followed by joint prosthesis replacement: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2023Pooled it
- Comparative outcomes of internal fixation versus prosthetic reconstruction in the treatment of proximal femoral metastases: a systematic review and meta-analysis.EFORT open reviews · 2025Article
- Soft tissue reconstruction using Trevira tube following proximal femur resection and tumorous endoprosthetic replacement.BMC musculoskeletal disorders · 2025Article
- Article
- Implant survival and risk factors for failure after proximal femoral megaprosthetic reconstruction.SICOT-J · 2025Article
- Soft Tissue Reconstruction and Integration to Implant After Bone-Tumor Resection: A Current Concept Review.Current oncology (Toronto, Ont.) · 2024Review
- Characteristics and Epidemiology of Megaprostheses Infections: A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- Clinical application of LARS tumor tube in joint function reconstruction of tumor type artificial hip replacement.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024Article
- Cemented vs uncemented megaprostheses in proximal femur metastases: a multicentric comparative study.BMC musculoskeletal disorders · 2022Article
- CementedOrthopedic reviews · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is little conformity regarding the surgical treatment of metastasis of the proximal femur, especially in palliative patients with limited life expectancy. PATIENTS AND
methodsEn-bloc resection of secondary bone malignancies of the proximal femur and reconstruction by modular arthroplasty was performed in a consecutive series of 45 patients. The mean follow-up period was 16.4 months (0.6-74.7).
resultsThe survival rate of all patients was 6.6% (95% CI: 0-14.9) at 74.7 months. There was no significant difference in patients with a solitary or disseminated disease at index operation (log-rank
conclusionsEn-bloc resection of metastases and reconstruction by modular arthroplasty is reliable even in patients with very limited life expectancy. Local complications due to tumor growth or instability after intralesional surgery could be managed successfully but recurrent dislocation as the most frequent complication has to be taken into account. The simple bonding of remaining soft tissue around the prosthesis without the use of an attachment tube may reduce the dislocation rate and reoperation risk.
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Registered trials
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