Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Tumor 241 articles

Articles

Malignant Lymphoma of Bone: A Review of 119 Patients

Emre Demircay MD, Francis John Hornicek MD, PhD, Henry J. Mankin MD, Henry Degroot MD

Lymphoma of bone is uncommon. As a result of this, many aspects of primary lymphoma of bone (PLB) are controversial: the definition, treatment strategies, response criteria, and prognostic factors.

Iterative Curettage is Associated with Local Control in Giant Cell Tumors Involving the Distal Tibia

Saleh A. AlSulaimani MBBS, Robert E. Turcotte FRCSC

The distal tibia is an unusual location for a giant cell tumor (GCT). Treatment choices are unclear because of their rarity, the anatomy of the ankle, and difficulties associated with reconstruction.

A Dual-center Review of Compressive Osseointegration for Fixation of Massive Endoprosthetics: 2- to 9-year Followup

George T. Calvert MD, Judd E. Cummings MD, Austin J. Bowles MS, Kevin B. Jones MD, L. Daniel Wurtz MD, R. Lor Randall MD

Aseptic failure of massive endoprostheses used in the reconstruction of major skeletal defects remains a major clinical problem. Fixation using compressive osseointegration was developed as an alternative to cemented and traditional press-fit fixation in an effort to decrease aseptic failure rates.

Asymptomatic Upper Arm Mass in a 37-year-old Woman

Paul Rothenberg BA, Yaxia Zhang MD, PhD, Andrew Rosenberg MD, Sheila A. Conway MD

Extensor Function After Medial Gastrocnemius Flap Reconstruction of the Proximal Tibia

Thorsten Jentzsch MD, Matthias Erschbamer MD, PhD, Franziska Seeli, Bruno Fuchs MD, PhD

Reconstruction of the extensor mechanism after resection of the proximal tibia is challenging, and several methods are available. A medial gastrocnemius flap commonly is used, although it may be associated with an extensor lag. This problem also is encountered, although perhaps to a lesser extent, with other techniques for reconstruction of the extensor apparatus. It is not known how such lag develops with time and how it correlates with functional outcome.

High Infection Rate Outcomes in Long-bone Tumor Surgery with Endoprosthetic Reconstruction in Adults: A Systematic Review

Antonella Racano MSc, Theresa Pazionis MD, Forough Farrokhyar PhD, Benjamin Deheshi MD, MSc, FRCS(C), Michelle Ghert MD, FRCS(C)

Limb salvage surgery (LSS) with endoprosthetic replacement is the most common method of reconstruction following bone tumor resection in the adult population. The risk of a postoperative infection developing is high when compared with conventional arthroplasty and there are no appropriate guidelines for antibiotic prophylaxis.

A Long Femoral Stem Is Not Always Required in Hip Arthroplasty for Patients With Proximal Femur Metastases

Zhiqing Xing MD, PhD, Bryan S. Moon MD, Robert L. Satcher MD, PhD, Patrick P. Lin MD, Valerae O. Lewis MD

During hip arthroplasties for treating proximal femur metastases, a long femoral stem frequently is used, presumably protecting the entire femur against progression of the existing lesions or development of new lesions. However, it is unclear whether a long stem is really required.

Surgical Technique: Computer-generated Custom Jigs Improve Accuracy of Wide Resection of Bone Tumors

Fazel A. Khan MD, Joseph D. Lipman MS, Andrew D. Pearle MD, Patrick J. Boland MD, John H. Healey MD

Manual techniques of reproducing a preoperative plan for primary bone tumor resection using rudimentary devices and imprecise localization techniques can result in compromised margins or unnecessary removal of unaffected tissue. We examined whether a novel technique using computer-generated custom jigs more accurately reproduces a preoperative resection plan than a standard manual technique.

Trends in the Surgical Treatment of Pathologic Proximal Femur Fractures Among Musculoskeletal Tumor Society Members

Matthew Steensma MD, John H. Healey MD

Several strategies for the treatment of pathologic proximal femur fractures are practiced but treatment outcomes have not been rigorously compared.