caa a22 4500 469114126 CHVBK 20180323133119.0 cr unu---uuuuu 170328e19921201xx s 000 0 eng 10.1007/BF00431035 doi (NATIONALLICENCE)springer-10.1007/BF00431035 Alumina ceramic prostheses for bone tumor surgery [Elektronische Daten] [H. Hayashi, A. Uchida, H. Hamada, H. Yoshikawa, Y. Shinto, K. Ono] Summary: Between 1979 and 1990 reconstruction using a ceramic prosthesis with a polycrystal alumina segment and a monocrystal alumina stem was carried out in 65 patients after the resection of malignant or benign aggressive bone tumors. Resection of 18 osteosarcomas, 5 chondrosarcomas, 9 other sarcomas, 10 giant cell tumors, 20 metastatic bone tumors, and 3 other bone tumors was followed by replacement of 17 proximal femurs, 12 distal femurs, 12 proximal tibia, 11 proximal humeri, 3 distal radii, 5 midshafts of the long bone, 2 pelvises, and 3 other parts. Results were rated excellent in 4 cases, good in 43, fair in 13, and poor in 4. In the cases with benignly aggressive or low-grade malignant tumors and those with tumors of the proximal femur, proximal tibia, or midshaft, satisfactory results can be obtained. Four skin ulcers, three dislocations, three loosenings, two infections, and two breaks were noted. Close interfacing between the ceramic prosthesis and the bone was observed radiologically in all cases with cementless fixation except in cases with high-grade malignancies in the knee joint. These results demonstrate that the ceramic prosthesis can be beneficial for the management of patients with benignly aggressive or low-grade malignant bone tumors who have retained adequate muscle strength around the joint even after tumor resection. Springer-Verlag, 1992 Hayashi H. Department of Orthopedic Surgery, Hayashi Hospital, Hiroshima, Japan aut Uchida A. Department of Orthopedic Surgery, Osaka University Medical School, 1-1-50 Fukushima, Fukushima-ku, 553, Osaka, Japan aut Hamada H. Department of Orthopedic Surgery, Osaka Prefecture Hospital, Osaka, Japan aut Yoshikawa H. Department of Orthopedic Surgery, Osaka University Medical School, 1-1-50 Fukushima, Fukushima-ku, 553, Osaka, Japan aut Shinto Y. Department of Orthopedic Surgery, Osaka University Medical School, 1-1-50 Fukushima, Fukushima-ku, 553, Osaka, Japan aut Ono K. Department of Orthopedic Surgery, Osaka University Medical School, 1-1-50 Fukushima, Fukushima-ku, 553, Osaka, Japan aut Archives of Orthopaedic and Trauma Surgery Springer-Verlag 112/1(1992-12-01), 1-4 0936-8051 112:1<1 1992 112 402 https://doi.org/10.1007/BF00431035 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00431035 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hayashi H. Department of Orthopedic Surgery, Hayashi Hospital, Hiroshima, Japan aut NATIONALLICENCE 700 1- Uchida A. Department of Orthopedic Surgery, Osaka University Medical School, 1-1-50 Fukushima, Fukushima-ku, 553, Osaka, Japan aut NATIONALLICENCE 700 1- Hamada H. Department of Orthopedic Surgery, Osaka Prefecture Hospital, Osaka, Japan aut NATIONALLICENCE 700 1- Yoshikawa H. Department of Orthopedic Surgery, Osaka University Medical School, 1-1-50 Fukushima, Fukushima-ku, 553, Osaka, Japan aut NATIONALLICENCE 700 1- Shinto Y. Department of Orthopedic Surgery, Osaka University Medical School, 1-1-50 Fukushima, Fukushima-ku, 553, Osaka, Japan aut NATIONALLICENCE 700 1- Ono K. Department of Orthopedic Surgery, Osaka University Medical School, 1-1-50 Fukushima, Fukushima-ku, 553, Osaka, Japan aut NATIONALLICENCE 773 0- Archives of Orthopaedic and Trauma Surgery Springer-Verlag 112/1(1992-12-01), 1-4 0936-8051 112:1<1 1992 112 402 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer