Proximal tibia modular endoprosthetic replacement. Analysis of complications

Authors

DOI:

https://doi.org/10.15674/0030-59872019267-73

Keywords:

modular endoprosthetics, proximal tibial region, complications of modular endoprosthetic reconstruction proximal

Abstract

The reconstruction of proximal tibial by using modular endoprosthetics is a complex surgical procedure, accompanied by a significant number of complications (40–70 %) in the period of follow up of 5–15 years.

Objective: to analyze the primary complications of modular endoprosthetic reconstruction of proximal tibial.

Methods: the results of surgical interventions performed on 47 patients with PT tumor lesions (20 men (42.6 %) and 27 women (57.4 %), age from 12 to 74 years) were evaluated. The patients were divided into two groups: I (35 people) — primary modular endoprosthetics after removal of the tumor, II (12) — revision.

Results: in the period from 3 weeks to 13 years after the establishment of a modular endoprosthesis due to complications, 18 (38.2 %) patients underwent revision surgeries. The implanted endoprosthesis was removed in 12 cases (25.5 %): in group I — 9 (25.7 %), in II — 3 (25 %). Due to tumor recurrence, 2 (4.26 %) myofascioplastic amputations were performed. Complications associated with the insufficiency of soft tissues (type I) were observed in 3 (6.3 %) people: in group I — 1 (7.6 % of all complications in the group), in II — 2 (40 %). Aseptic instability (type II) was detected in one case of group I (7.6 % of all group complications) 6 years after primary endoprosthesis. Periprosthetic infection (type IV) developed in periods from 12 days to 4 years in 12 patients (70 % of all complications): in group I — 9 (52.9 %), in II — 3 (17.6 %). Local recurrence of a tumor lesion (V type) was detected in 2 (11.7 % of all complications) people of group I after 6 months. and 3 years after surgery.

Conclusions: in patients with malignant tumors of proximal tibial, the technique of replacing post-resection defects with modular endoprostheses is justified, since it provides 61.8 % positive results.

Author Biographies

Oleg Vyrva

Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

Prof. in Traumatology and Orthopаedics

Ivan Skoryk

Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

Igor Shevchenko

Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Traumatology and Orthopаedics

Roman Malyk

Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Traumatology and Orthopаedics

Yanina Golovina

Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Traumatology and Orthopаedics

Dmytro Mikhanovskiy

Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Traumatology and Orthopаedics

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How to Cite

Vyrva, O., Skoryk, I., Shevchenko, I., Malyk, R., Golovina, Y., & Mikhanovskiy, D. (2019). Proximal tibia modular endoprosthetic replacement. Analysis of complications. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 67–73. https://doi.org/10.15674/0030-59872019267-73

Issue

No. 2 (2019)

Section

ORIGINAL ARTICLES

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Copyright (c) 2019 Oleg Vyrva, Ivan Skoryk, Igor Shevchenko, Roman Malyk, Yanina Golovina, Dmytro Mikhanovskiy

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