First Ukrainian experience using noninvasive expandable modular endoprosthesis for the treatment of patients with malignant tumors of long bones

Authors

  • Oleg Vyrva
  • Roman Malyk

DOI:

https://doi.org/10.15674/0030-5987201425-10

Keywords:

noninvasive expandable prosthesis, tumors, long bones, children

Abstract

First Ukrainian experience using noninvasive modular expandable endoprosthesis in patients with malignant bone tumors. Introduction. The article focused on the surgical treatment of patients with malignant bone tumors by expandable endoprosthesis. Purpose. To present stage of development and the main features using of expandable endoprostheses in malignant bone tumors surgery in patients with incomplete skeletal growth. Materials and methods. Data of 6 children with bone defects of distal femur (5) and proximal tibia (1) following treatment of malignant bone tumors which were implanted noninvasive expandable endoprosthesis. Results. The analysis of the evolution of the expandable endoprosthesis was presented; advantages and disadvantages of modern systems for tumor arthroplasty in children were present also. The experience of using MUTARS Xpand system was presented on clinical examples in patients with malignant bone tumors with incomplete skeletal growth. Conclusion. Direction tumor expandable prosthesis designs is still evolving, but it is the best method to prevent limbs discrepancy and to achieve excellent functional results in childhood patients with malignant tumors of long bones.

References

  1. Vyrva O. E. Diagnosis and treatment of malignant bone tumors in children / O. E. Vyrva, S. D. Shevchenko, V. V. Baev // Orthopaedics, Traumatology and Prosthetics. — 2005. — № 3. — P. 15–20.
  2. Vyrva O. E. Complex treatment of primary malignant tumors of long bones / O. E. Vyrva, O. S. Dudnichenko, V. V. Burlaka // Orthopedics, Traumatology and Prosthetics. — 2006. — № 1. — P. 65–71.
  3. Vyrva O. E. Modulne individual arthroplasty in the treatment of malignant tumors of long bones dis. ... doctor medical sciences: 14.01.21 / O. E. Vyrva. — Kharkov, 2013. — 336 p.
  4. Bächi M. A. Comparison of tumourprosthetic musculoskelettal designs in oncology: Master’s thesis to obtain the academic degree Master of Medicine / M. Bächi. — Zurich, 2011. — 37 p.
  5. Early results of a non-invasive extendible prosthesis for limb-salvage surgery in children with bone tumours / N. Hwang, R. J. Grimer, S. R. Carter [et al.] // J. Bone Joint Surg. — 2012. — Vol. 94-B (2). — P. 265–269.
  6. From amputation to limb salvage reconstruction: evolution and role of the endoprosthesis in musculoskeletal oncology / J. S. Hwang, A. D. Mehta, R. S. Yoon, K. S. Beebe // J. Orthop. Traumatol. — 2013 22 Sep. — [Epub ahead of print].
  7. Haynes K. Repiphysis prosthesis for limb preservation in pediatric patients with bone cancer: a literature review / K. Haynes, C. Tyner, P. D. William // Orthop Nurs. — 2013. — Vol. 32 (2). — P. 81–86.
  8. Maheshwari A. V. Modes of failure of custom expandable repiphysis prostheses: a report of three cases / A. V. Maheshwari, P. F. Bergin, R. M. Henshaw // J. Bone Joint Surg. — 2011. — Vol. 93-А (13). — P. 1–7.
  9. Mavrogenis A. F. Expandable prostheses for the leg in children / A. F. Mavrogenis, P. J. Papagelopoulos // Orthopedics. — 2012. — Vol. 35 (5). — P. 173–175.
  10. Neel M. D. Modular endoprostheses for children with malignant bone tumors / M. D. Neel, G. D. Letson // Cancer Control. — 2001. — Vol. 8 (4). — P. 344–348.
  11. Nystrom m L. M. Expanding endoprosthesis for pediatric musculoskeletal malignancy: current concepts and results / L. M. Nystrom, J. A. Morcuende // Iowa Orthop. J. — 2010. — Vol. 30. — P. 141–149.
  12. Outcome of expandable prostheses in children / P. Ruggieri, A. F. Mavrogenis, E. Pala [et al.] // J. Pediatr. Orthop. — 2013. — Vol. 33 (3). — P. 244–253.
  13. The bioexpandable prosthesis: a new perspective after resection of malignant bone tumors in children / R. Baumgart, S. Hinterwimm er, M. Kramm er [et al.] // J. Pediatr. Hematol. Oncol. — 2005. — Vol. 27 (8). — P. 452–455.
  14. The medium-term results of the Stanmore non-invasive extendible endoprosthesis in the treatment of paediatric bone tumours / N. E. Picardo, G. W. Blunn, A. S. Shekkeris [et al.] // J. Bone Joint Surg. — 2012. — Vol. 94-B. — P. 425–430.
  15. Wilkins R. M. The Phenix expandable prosthesis: early American experience / R. M. Wilkins, A. Soubeiran // Clin. Orthop. Relat. Res. — 2001. — Vol. 382. — P. 51–58.
  16. Schiller C. Extendable tumour endoprostheses for the leg in children / C. Schiller, R. Windhager, E. J. Fellinger // J. Bone Joint Surg. — 1995. — Vol. 77-В. — P. 608–614.

How to Cite

Vyrva, O., & Malyk, R. (2014). First Ukrainian experience using noninvasive expandable modular endoprosthesis for the treatment of patients with malignant tumors of long bones. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 5–10. https://doi.org/10.15674/0030-5987201425-10

Issue

Section

ORIGINAL ARTICLES