Skip to main content
SpringerLink
Log in

Knieendoprothetik bei Tumoren

  • Chapter
  • First Online:
AE-Manual der Endoprothetik

  • 5490 Accesses

Zusammenfassung

War vor noch ca. 30 Jahren die Standardtherapie bösartiger kniegelenksnaher Tumoren die Oberschenkelamputation, so können heutzutage nahezu alle Patienten beinerhaltend operiert werden. Solange die Regeln der weiten Resektion gemäß Enneking et al. (1980) eingehalten werden, ist die Lokalrezidivrate vergleichbar mit der nach ablativen Verfahren (Campanacci et al. 1981), so dass Amputationen oder Umdrehplastiken kaum noch notwendig sind.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 159.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Campanacci M, Bacci G, Bertoni F, Picci P, Minutillo A, Franceschi C (1981) The treatment of osteosarcoma of the extremities: twenty year’s experience at the Istituto Ortopedico Rizzoli. Cancer 48:1569–1581

    Article  CAS  PubMed  Google Scholar 

  • Dominkus M, Sabeti M, Toma C, Abdolvahab F, Trieb K, Kotz RI (2006) Reconstructing the extensor apparatus with a new polyester ligament. Clin Orthop Relat Res 453:328–334

    Article  PubMed  Google Scholar 

  • Eckardt JJ, Eilber FR, Dorey FJ, Mirra JM (1985) The UCLA experience in limb salvage surgery for malignant tumors. Orthopedics 8:612–621

    CAS  PubMed  Google Scholar 

  • Enneking WF, Spanier SS, Goodman MA (1980) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop Relat Res 153:106–120

    PubMed  Google Scholar 

  • Gosheger G, Gebert C, Ahrens H, Streitbuerger A, Winkelmann W, Hardes J (2006) Endoprosthetic reconstruction in 250 patients with sarcoma. Clin Orthop Relat Res 450:164–171

    Article  PubMed  Google Scholar 

  • Gosheger G, Hardes J, Ahrens H et al. (2004) Silver-coated megaendoprostheses in a rabbit model – an analysis of the infection rate and toxicological side effects. Biomaterials 25:5547–5556

    Article  CAS  PubMed  Google Scholar 

  • Gosheger G, Hillmann A, Lindner N, Rodl R, Hoffmann C, Burger H, Winkelmann W (2001) Soft tissue reconstruction of megaprostheses using a trevira tube. Clin Orthop Relat Res 2001:264–271

    Article  Google Scholar 

  • Grimer RJ, Belthur M, Chandrasekar C, Carter SR, Tillman RM (2002) Two-stage revision for infected endoprostheses used in tumor surgery. Clin Orthop Relat Res 395:193–203

    Article  PubMed  Google Scholar 

  • Grimer RJ, Carter SR, Tillman RM, Sneath RS, Walker PA, Unwin PS, Shewell PC (1999) Endoprosthetic replacement of the proximal tibia. J Bone Joint Surg Br 81:488–494

    Article  CAS  PubMed  Google Scholar 

  • Ham SJ, Schraffordt Koops H, Veth RP, van Horn JR, Molenaar WM, Hoekstra HJ (1998) Limb salvage surgery for primary bone sarcoma of the lower extremities: long-term consequences of endoprosthetic reconstructions. Ann Surg Oncol 5:423–436

    Article  CAS  PubMed  Google Scholar 

  • Hardes J, Ahrens H, Gebert C et al. (2007) Lack of toxicological side-effects in silver-coated megaprostheses in humans. Biomaterials 28:2869–2875

    Article  CAS  PubMed  Google Scholar 

  • Hardes J, Gebert C, Schwappach A, Ahrens H, Streitburger A, Winkelmann W, Gosheger G (2006) Characteristics and outcome of infections associated with tumor endoprostheses. Arch Orthop Trauma Surg 126:289–296

    Article  CAS  PubMed  Google Scholar 

  • Jeys LM, Grimer RJ, Carter SR, Tillman RM (2003) Risk of amputation following limb salvage surgery with endoprosthetic replacement, in a consecutive series of 1261 patients. Int Orthop 27:160–163

    CAS  PubMed  Google Scholar 

  • Malawer MM, Chou LB (1995) Prosthetic survival and clinical results with use of large-segment replacements in the treatment of high-grade bone sarcomas. J Bone Joint Surg Am 77:1154–1165

    CAS  PubMed  Google Scholar 

  • Mittermayer F, Krepler P, Dominkus M, Schwameis E, Sluga M, Heinzl H, Kotz R (2001) Long-term followup of uncemented tumor endoprostheses for the lower extremity. Clin Orthop Relat Res 388:167–177

    Article  PubMed  Google Scholar 

  • Picci P, Sangiorgi L, Rougraff BT, Neff JR, Casadei R, Campanacci M (1994) Relationship of chemotherapy-induced necrosis and surgical margins to local recurrence in osteosarcoma. J Clin Oncol 12:2699–2705

    CAS  PubMed  Google Scholar 

  • Shin DS, Weber KL, Chao EY, An KN, Sim FH (1999) Reoperation for failed prosthetic replacement used for limb salvage. Clin Orthop Relat Res 358:53–63

    Article  PubMed  Google Scholar 

  • Tunn PU, Schmidt-Peter P, Pomraenke D, Hohenberger P (2004) Osteosarcoma in children: long-term functional analysis. Clin Orthop Relat Res 421:212–217

    Article  PubMed  Google Scholar 

  • Unwin PS, Cannon SR, Grimer RJ, Kemp HB, Sneath RS, Walker PS (1996) Aseptic loosening in cemented custom-made prosthetic replacements for bone tumours of the lower limb. J Bone Joint Surg Br 78:5–13

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum Münster, Albert-Schweitzer-Str. 33, 48149, Münster, Deutschland

    Maurice Balke

Authors
  1. Maurice Balke
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Georg Gosheger
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Maurice Balke .

Editor information

Editors and Affiliations

  1. , Klinik für Orthopädie u. Unfallchirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, Bonn, 53105, Germany

    Dieter C. Wirtz

Copyright information

© 2011 Arbeitsgemeinschaft Endoprothetik

About this chapter

Cite this chapter

Balke, M., Gosheger, G. (2011). Knieendoprothetik bei Tumoren. In: Wirtz, D. (eds) AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12889-9_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-12889-9_10

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-12888-2

  • Online ISBN: 978-3-642-12889-9

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation