Knieendoprothesenimplantation bei übersehenem Osteosarkom |
| |
Authors: | Dr M Balke V Vieth H Ahrens A Streitbürger G Gosheger J Hardes |
| |
Institution: | 1. Klinik und Poliklinik für Allgemeine Orthop?die, Universit?tsklinik, Albert-Schweitzer-Stra?e 33, 48149, Münster, Deutschland 2. Institut für Klinische Radiologie, Universit?tsklinik, Münster, Deutschland
|
| |
Abstract: | A 72-year-old woman presented with pain, swelling, and decreased range of motion of the left knee joint after total knee arthroplasty in 2005. We performed standard x-rays, which were highly suspicious for an osteosarcoma of the distal femur; this was proven by open biopsy. Retrospectively, the x-rays taken before implantation of the prosthesis showed suspicious findings. Because the femur was tumor-contaminated, with the intramedullary adjustment far-reaching proximally, a limb salvage procedure was no longer possible. To improve function, we decided to perform a stump-lengthening procedure using a special implant. With regard to the dismal consequences, we recommend that every suspicious finding before an elective surgical procedure be examined with further diagnostics and, if necessary, histological confirmation. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|