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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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Background:Modular endopros<strong>the</strong>tic replacements are commonly required to treat primary bone tumors aswell as solitary metastasis <strong>of</strong> <strong>the</strong> proximal femur. Modular pros<strong>the</strong>ses provide an <strong>of</strong>f <strong>the</strong> shelfavailability and can be adapted to most reconstructive situations for proximal femoralreplacements.Patients and methods:Twelve consecutive patients <strong>under</strong>went resection <strong>of</strong> <strong>the</strong> proximal femur and modularendopros<strong>the</strong>tic replacement. The mean age was 45.25 years (ranging from 19 to 66 years). Thefollow up period <strong>of</strong> <strong>the</strong> study ranged from 14 to 120 months with a mean <strong>of</strong> 40 months. TheMusculoskeletal Tumor Society (MTS) score described by Enneking et al. was used to assessfunctional outcome.Results:At latest follow up, tow cases with metastatic diseases <strong>of</strong> <strong>the</strong> proximal femur were still alivewith <strong>the</strong> disease. Ano<strong>the</strong>r patient died after 14 months due to systemic metastasis. Eight caseswere rated as excellent and one case as good. One case with a localized s<strong>of</strong>t tissue recurrence in<strong>the</strong> surgical incision that appears six months after surgery and was excised with safety margin.ConclusionModular endopros<strong>the</strong>tic reconstruction provides good functional outcome in patients afterproximal femoral tumour resection. They provide yet ano<strong>the</strong>r treatment option in limb salvage.These patients have been evaluated and seem to have acceptable functional outcomes.Poster: 7Avascular Necrosis <strong>of</strong> Femoral Head: Reshaping <strong>the</strong> Head With Bone Graft*Dante Parodi - Clinica Alemana De Santiago - Santiago, ChileCarlos Tobar - Clinica Alemana de Santiago - Santiago, ChileJavier Besomi - Clinica Alemana De Santiago / Facultad De Medicina Clinica Alemana -Universidad Del Desarrollo - Santiago, ChileJaime Lopez - Clinica Alemana de Santiago / Hospital Padre Hurtado - Santiago, ChileLuis Moya - Clinica Alemana de Santiago - Santiago, ChileClaudio Mella - Clinica Alemana de Santiago - Santiago, ChileJoaquin Lara - Clinica Alemana de Santiago - Santiago, Chile*Email: danteparodi@gmail.comINTRODUCTION. Avascular necrosis (AVN) <strong>of</strong> <strong>the</strong> femoral head is a condition that affectsyoung adults that progresses to joint destruction. In an attempt to defer total hip arthroplasty in<strong>the</strong>se patients, multiple treatment options have been proposed with still unsatisfactory results.file:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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