Limb salvage : major reconstructions in oncologic and nontumoral conditions, 5th international symposium, St. Malo, ISOLS-GETO
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書誌事項
Limb salvage : major reconstructions in oncologic and nontumoral conditions, 5th international symposium, St. Malo, ISOLS-GETO
Springer-Verlag, c1991
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- : us
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注記
"In 1989 the Fifth International Symposium on Limb Salvage (ISOLS) was held in Saint Malo"--Pref
内容説明・目次
内容説明
An international group ofresearchers has met every 2 years since 1981 to examine the progress made in limb salvage techniques and the perspectives of this field of surgery. In 1989 the Fifth International Symposium On Limb Salvage (ISOLS) was held in Saint Malo and was attended by more than 300 participants from 34 different countries. The 105 papers presented, grouped under eleven main headings, have been included in this book. Limb salvage has indeed progressed in the years since the first symposium. Initially it essentially concerned tumours and the main aim was to salvage the diseased limb through non-mutilating surgery without jeopardizing the patient's prospects of survival. Now, with a confirmed high rate of 5-year disease-free survival, new goals can be set: improvement of the functional results and of the survival of our reconstructions. How can this be achieved: - By favouring muscle reattachment on the prosthesis, for instance through the use of a bone allograft-sleeved composite prosthesis? - By improving the survival of the arthroplasty through the develop- ment of a more biological fixation of its stems?
- By limiting the side effects of the necessary adjuvant treatments on the function of the allograft as well as on the fixation of the prosthesis? In addition, limb salvage procedures now concern not only primary tumours (and metastases, which must be treated using the same osteosynthetic and prosthetic techniques), but also reconstructive orthopaedic surgery as a whole.
目次
1 Allografts.- The Clinical Use of Frozen Cadaveric Allografts in the Management of Bone Tumors: An Overview.- Morphological Investigations of Osteochondral Allografts.- Isotope Metabolism and Biochemistry of Massive Osteoarticular Allografts.- The Development of a Size and Shape Matching Index for Osteochondral Allografts.- Radiation Sterilized Bone Allografts: Banking Procedure and Clinical Results After 150 Massive Allografts.- Allograft Replacement in Aggressive and Malignant Bone Tumors: A Long-Term Study.- Massive Intercalary Allografts in the Reconstruction of Segmental Bone Defects.- Osteoarticular Allograft Reconstruction of the Proximal Humerus Following Limb-Sparing Surgery.- Allografts in Bone Tumor Surgery: Short-Term Results.- Technical Aspects and Surgical Complications of Segmental Allografts Following Segmental Resections of Malignant Bone Tumors.- Complications of Fresh Frozen Bone Allografts for Tumor Reconstruction and Their Management.- Segmental Allograft Reconstruction Concomitant with Neoadjuvant Chemotherapy.- Evaluation of Allograft Fixation.- Chemotherapy Effect on the Clinical Results of Allograft Transplantation in the Treatment of Malignant Bone Tumors.- Bone Union in Allografts: Chemotherapy Considerations.- Treatment of Complications in Intercalary and Terminal Allografts.- Complications in Hemipelvic Resection/Allograft Reconstruction for Bone Sarcomas: Are They Prohibitive to Limb Salvage?.- 2 Innovative Materials and Devices.- Benign Aggressive Bone Lesions: Marginal Resection plus Methylmethacrylate - A Long-Term Appraisal.- Polymethylmethacrylation in the Treatment of Giant Cell Tumors.- Acrylic Cementation Techniques in the Treatment of Metaphyseal Tumors of Bone.- Antimitotic-Loaded Acrylic Cement.- Bioartificial Hydroxyapatite Implants.- Reconstruction of Bone Defects.- Calcium Hydroxyapatite Ceramic: Use in Bone Tumor Surgery.- Implant of Biphasic Ceramic (Tricalcium Phosphate/Hydroxyapatite) in Cystic Cavities After Bone Tumor Curettage: Preliminary Results.- 3 Soft Tissue and Bone Transfer in Limb Salvage.- Orthopaedic and Plastic Reconstruction of Large Bone and Soft Tissue Defects.- Functional Coverage of the Shoulder Through Transfer of a Latissimus Dorsi Musculocutaneous Flap After Wide Excision of Malignant Bone Tumors.- Free Tissue Transfer in Conjunction with Limb-Sparing Prosthetic Replacement for Sarcomas Around the Knee.- Reconstructive Plastic Procedures in Recurrent Soft Tissue Sarcomas of the Extremities.- Free Vascularized Fibular Graft for Skeletal Defect Reconstruction After Tumor Resection.- Local Pedicular Vascularized Bone Graft in Reconstruction Around the Knee.- Treatment of Tibial Defects and Nonunions Using Ipsilateral Vascularized Fibular Transposition.- 4 Prostheses: Long-Term Follow-Up. Effect of Adjuvant Treatments.- Intramedullary Fixation of Massive Prostheses Using Acrylic Cement: A Retrieval Study.- Long-Term Radiographic Evaluation of Massive Proximal Femoral Replacements.- Segmental Total Hip and Knee Replacement: A Long-Term Review.- Polyethylene Endoprostheses for the Treatment of Malignant Bone Tumors: A Long-Term Follow-Up Study.- Long-Term Follow-Up of Walldius-Hinged Total Knee Arthoplasties.- Endoprosthetic Replacements of the Proximal Tibia.- The Effect of Chemotherapy on Uncemented Prosthetic Replacements.- Effects of Adjuvant Local X-Ray Therapy on the Functional Result of Prosthetic Knee Replacement for Malignant Bone Tumors.- Summary.- 5 Innovative Prostheses.- A Challenge to Osteointegrable Tumor Prosthesis.- The Bone-Cement Interface in Long-Standing Prosthetic Implants.- Histomorphological Findings in Different Cementless Anchored Humerus Prostheses.- Comparison of Autogenous Cortical Graft and Demineralized Allogenic Bone Matrix (DABM) in the Fixation of Segmental Prosthesis.- Experience with Extracortical Fixation of Large Segmental Prostheses and Description of a Modular Segmental Replacement System (MSRS).- Design Characteristics of Knee Joints for Limb Salvage Devices.- Effect of Therapeutic Irradiation on Extracortical Fixation and Bone Ingrowth in an Autogenously Bone Grafted Segmental Defect Prosthesis.- Telemetry of Strain In Vivo from a Proximal Femoral Replacement.- Hemipelvic Endoprosthetic Replacements.- 6 Composite Prostheses and Soft Tissues Reattachment.- Composite Prostheses in Malignant Tumors: Rationale and Preliminary Results of 42 Cases.- Muscle Reattachment - Especially the Gluteal Muscles- After Proximal Femoral Resection and Replacement by Tumor Prosthesis.- Dacron Fabric Enveloped Alumina Ceramic Prosthesis for Large Bone Defects.- Allograft Prosthetic Composite Arthoplasty for Limb Salvage and Revision Arthroplasty.- Radiation Sterilized Proximal Femur Massive Allografts After Tumor Surgery: A Preliminary Report.- Allograft-Prostljesis Combinations in Limb Salvage Surgery.- Contribution of Allografts in Prosthetic Surgery.- Allograft with Patellar Tendon in Reconstructive Procedures After Upper Tibia Resection.- Incidence of Adjuvant Radiotherapy and Chemotherapy and Infection in Massive Composite Allograft Prostheses.- 7 Failures of Prostheses.- Introduction: Reoperation Following Prosthetic Replacement.- Reoperation of Failed Prosthetic Replacement for Limb Salvage.- Salvage Procedures for Failed Total Hip Prostheses Implanted After Tumor Resection.- Management of the Failed Segmental Knee Replacement.- An Individualized Design Approach for Revising Total Knee Hinges.- Management of Failed Endoprosthetic Implants: The UCLA Experience.- Management of Failed Segmental Hip and Knee Implants.- Management of Failed Megaprostheses After Limb-Saving Surgery.- Influence of Chemotherapy on Perioperative Complications in Limb-Salvage Surgery for Bone Tumors.- Conclusion: Reoperation Following Prosthetic Replacement.- 8 Limb Salvage in Pediatric Surgery.- Limb Salvage in Pediatric Patients (Round Table).- Effect of Chemotherapy on Growth in the Skeletally Immature Individual.- Van Nes Rotationplasty in Skeletally Immature Patients with Malignant Sarcoma of the Lower Extremity.- Lymph Scintigraphy in Patients After Rotationplasty.- Adaptation of the Ankle Joint After Rotationplasty in Children.- Arthrodeses After Malignant Bone Tumor Resection in Children.- Reconstruction After Large Bone Shaft Resection for Humerus, Femur, and Tibia Sarcomas: Autograft or Allograft Reconstitution?.- Cemented Prosthetic Replacement for Children with Primary Bone Sarcomas: Results and Growth Problems.- Bone Allografts for Tumors and Other Reconstructions in Children.- Growing Endoprosthetic Replacements for Malignant Tumors.- The Expandable Adjustable Prosthesis: An Alternative to Amputation in Growing Children with Malignant Tumors of the Extremities.- Expandable Endoprostheses for the Skeletally Immature: The Initial UCLA Experience.- Endoprostheses in Children - First Results.- Remodelling of Bone Around Massive Prostheses Used in Growing Patients.- In Vitro and In Vivo Experiments of a Lengthening Element for a Modular Femur Endoprosthetic System.- Conclusions of Limb Salvage in Pediatric Patients (Round Table).- 9 Innovative Procedures.- Limb Salvage with the Intraoperatively Irradiated Tumor Tissues Preserved In Situ in Osteosarcoma.- Limb Conservation in Primary Bone Tumors by Resection, Extracorporeal Irradiation and Reimplantation: Results and Complications of the Technique in 27 Patients.- Developments of Interlocking Nailings in Limb Salvage Surgery: Endolock and TD Nails.- Segmental Resection of Thigh for Osteosarcoma of Distal Part of Femur.- En Bloc Sacral Resection or Total Sacrectomy.- Prosthetic Reconstruction Following Internal Hemipelvectomy: Clinical Results and Improvement of Pelvic Tumor Prosthesis.- Reconstruction of the Tibia by Dual Grafting: Report of Three Cases.- Primary Stabilization Procedures for Large Osteoperiosteal Gaps Following Tumor Resections.- 10 Metastases.- Treatment of Metastatic Disease Involving the Proximal Femur and Hip Joint.- Use of Megaprostheses in the Treatment of Metastatic Bone Disease.- Pitfalls in the Management of Metastatic Disease of the Femur.- Metastatic Carcinoma of the Spine with Neurological Complications: An Autopsy Review.- Surgical Treatment of Vertebral Metastases.- Score Assessment on Metastatic Bone Tumor for Operative Treatment.- Allograft Reconstruction for Bone Metastases.- Prosthetic Replacement in the Treatment of Bone Metastases.- Vertebral Metastasis - Natural History and Treatment.- Surgical Treatment of Bone Metastases.- 11 Imaging (Joint Session GETO-ISOLS).- Role of Electroradiography in the Evaluation of Preoperative Treatment for Primary Malignant Bone Tumors.- Magnetic Resonance Imaging in Evaluating In Vivo Response to Neoadjuvant Chemotherapy for Osteogenic Sarcomas.- Radiographic Evaluation of the Response of Osteosarcoma to Induction Chemotherapy.- Recurrence Detection of Malignant Mesenchymal Neoplasms in MRI and CT.- Contribution of Magnetic Resonance Imaging in the Evaluation of Tumor Extension and in the Follow-Up During Chemotherapy in an Undifferentiated Osteogenic Sarcoma: A Case Report.- Osteosarcoma: Evaluation of Prognosis by Flow Cytometry.- High Resolution Radiography of Bone Tumor Resection Specimens.- Single Photon Emission Computed Tomography (SPECT) Analysis of Allograft Revascularization.- Suitability of MRI for the Selection of Osteochondral Allograft Bone.
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