Reoperation for failed prosthetic replacement used for limb salvage

Duk Seop Shin, Kristin L. Weber, Edmund Y S Chao, Kai Nan An, Franklin H. Sim

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

Patients with segmental bone and joint replacement prostheses because of tumors increasingly need revision surgery because of their long term survival. Between 1970 and 1990, 208 custom prosthetic replacements were performed for limb salvage in patients with tumors. Reoperations were required in 52 patients. The mean time to reoperation was 37 months. The reoperation procedures included 35 prosthetic revisions, 11 amputations, four arthrodeses, one vascularized fibular graft, and one open reduction and internal fixation of a fracture with supplemental bone graft. Functional assessment using the new Musculoskeletal Tumor Society scoring system was available for the 36 living patients, and their mean rating was 63% (18.9) at 12 years' mean followup. Of the 35 patients who received a new prosthesis, 12 (33%) patients needed a third operation at mean followup of 68 months. The probability of prosthetic survival in the group of 35 patients needing revision to the same or another prosthesis was 79% at 5 years and 65% at 10 years. The chance and frequency of needing reoperation increased as patients survived longer. Reoperations for tumor recurrence or infection usually resulted in amputation. Reoperation for failed initial segmental bone and joint prosthetic replacement is feasible and effective and can be done without jeopardizing subsequent patient and implant survival or without significantly affecting functional results compared with the values before reoperation.

Original languageEnglish (US)
Pages (from-to)53-63
Number of pages11
JournalClinical Orthopaedics and Related Research
Issue number358
StatePublished - 1999

Fingerprint

Limb Salvage
Reoperation
Replacement Arthroplasties
Amputation
Bone and Bones
Prostheses and Implants
Survival
Neoplasms
Joint Prosthesis
Internal Fracture Fixation
Transplants
Arthrodesis
Recurrence

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Shin, D. S., Weber, K. L., Chao, E. Y. S., An, K. N., & Sim, F. H. (1999). Reoperation for failed prosthetic replacement used for limb salvage. Clinical Orthopaedics and Related Research, (358), 53-63.

Reoperation for failed prosthetic replacement used for limb salvage. / Shin, Duk Seop; Weber, Kristin L.; Chao, Edmund Y S; An, Kai Nan; Sim, Franklin H.

In: Clinical Orthopaedics and Related Research, No. 358, 1999, p. 53-63.

Research output: Contribution to journalArticle

Shin, DS, Weber, KL, Chao, EYS, An, KN & Sim, FH 1999, 'Reoperation for failed prosthetic replacement used for limb salvage', Clinical Orthopaedics and Related Research, no. 358, pp. 53-63.
Shin, Duk Seop ; Weber, Kristin L. ; Chao, Edmund Y S ; An, Kai Nan ; Sim, Franklin H. / Reoperation for failed prosthetic replacement used for limb salvage. In: Clinical Orthopaedics and Related Research. 1999 ; No. 358. pp. 53-63.
@article{8d20d991d105485cb23f3f258af2c94a,
title = "Reoperation for failed prosthetic replacement used for limb salvage",
abstract = "Patients with segmental bone and joint replacement prostheses because of tumors increasingly need revision surgery because of their long term survival. Between 1970 and 1990, 208 custom prosthetic replacements were performed for limb salvage in patients with tumors. Reoperations were required in 52 patients. The mean time to reoperation was 37 months. The reoperation procedures included 35 prosthetic revisions, 11 amputations, four arthrodeses, one vascularized fibular graft, and one open reduction and internal fixation of a fracture with supplemental bone graft. Functional assessment using the new Musculoskeletal Tumor Society scoring system was available for the 36 living patients, and their mean rating was 63{\%} (18.9) at 12 years' mean followup. Of the 35 patients who received a new prosthesis, 12 (33{\%}) patients needed a third operation at mean followup of 68 months. The probability of prosthetic survival in the group of 35 patients needing revision to the same or another prosthesis was 79{\%} at 5 years and 65{\%} at 10 years. The chance and frequency of needing reoperation increased as patients survived longer. Reoperations for tumor recurrence or infection usually resulted in amputation. Reoperation for failed initial segmental bone and joint prosthetic replacement is feasible and effective and can be done without jeopardizing subsequent patient and implant survival or without significantly affecting functional results compared with the values before reoperation.",
author = "Shin, {Duk Seop} and Weber, {Kristin L.} and Chao, {Edmund Y S} and An, {Kai Nan} and Sim, {Franklin H.}",
year = "1999",
language = "English (US)",
pages = "53--63",
journal = "Clinical Orthopaedics and Related Research",
issn = "0009-921X",
publisher = "Springer New York",
number = "358",

}

TY - JOUR

T1 - Reoperation for failed prosthetic replacement used for limb salvage

AU - Shin, Duk Seop

AU - Weber, Kristin L.

AU - Chao, Edmund Y S

AU - An, Kai Nan

AU - Sim, Franklin H.

PY - 1999

Y1 - 1999

N2 - Patients with segmental bone and joint replacement prostheses because of tumors increasingly need revision surgery because of their long term survival. Between 1970 and 1990, 208 custom prosthetic replacements were performed for limb salvage in patients with tumors. Reoperations were required in 52 patients. The mean time to reoperation was 37 months. The reoperation procedures included 35 prosthetic revisions, 11 amputations, four arthrodeses, one vascularized fibular graft, and one open reduction and internal fixation of a fracture with supplemental bone graft. Functional assessment using the new Musculoskeletal Tumor Society scoring system was available for the 36 living patients, and their mean rating was 63% (18.9) at 12 years' mean followup. Of the 35 patients who received a new prosthesis, 12 (33%) patients needed a third operation at mean followup of 68 months. The probability of prosthetic survival in the group of 35 patients needing revision to the same or another prosthesis was 79% at 5 years and 65% at 10 years. The chance and frequency of needing reoperation increased as patients survived longer. Reoperations for tumor recurrence or infection usually resulted in amputation. Reoperation for failed initial segmental bone and joint prosthetic replacement is feasible and effective and can be done without jeopardizing subsequent patient and implant survival or without significantly affecting functional results compared with the values before reoperation.

AB - Patients with segmental bone and joint replacement prostheses because of tumors increasingly need revision surgery because of their long term survival. Between 1970 and 1990, 208 custom prosthetic replacements were performed for limb salvage in patients with tumors. Reoperations were required in 52 patients. The mean time to reoperation was 37 months. The reoperation procedures included 35 prosthetic revisions, 11 amputations, four arthrodeses, one vascularized fibular graft, and one open reduction and internal fixation of a fracture with supplemental bone graft. Functional assessment using the new Musculoskeletal Tumor Society scoring system was available for the 36 living patients, and their mean rating was 63% (18.9) at 12 years' mean followup. Of the 35 patients who received a new prosthesis, 12 (33%) patients needed a third operation at mean followup of 68 months. The probability of prosthetic survival in the group of 35 patients needing revision to the same or another prosthesis was 79% at 5 years and 65% at 10 years. The chance and frequency of needing reoperation increased as patients survived longer. Reoperations for tumor recurrence or infection usually resulted in amputation. Reoperation for failed initial segmental bone and joint prosthetic replacement is feasible and effective and can be done without jeopardizing subsequent patient and implant survival or without significantly affecting functional results compared with the values before reoperation.

UR - http://www.scopus.com/inward/record.url?scp=0032922708&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032922708&partnerID=8YFLogxK

M3 - Article

C2 - 9973976

AN - SCOPUS:0032922708

SP - 53

EP - 63

JO - Clinical Orthopaedics and Related Research

JF - Clinical Orthopaedics and Related Research

SN - 0009-921X

IS - 358

ER -