Abstract
Adequate excision of malignant bone tumors often results in a large osteoarticular defect which needs to be suitably replaced in order to restore a functional limb. The lost bone can be replaced with a massive prosthesis, but the extensive loss of muscle attachments increases stress at the interface between the bone and the prosthesis and reduces the range of active movement. Unless a modular prosthesis is used, it is difficult to adapt the size of a custom-built prosthesis implant during surgery. For these reasons, replacement with a bone graft is now preferred in many situations in spite of the risk of infection, nonunion, secondary fracture and resorption when immunodepressive chemotherapy and/or high dose radiotherapy are used [2, 3, 9, 10].
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© 1996 Springer-Verlag/Wien
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Delepine, G., Delepine, N., Goutallier, D. (1996). Allograft Prosthetic Reconstruction: Review of 120 Composite Prostheses (1984–1992), A Monocentric Study. In: Czitrom, A.A., Winkler, H. (eds) Orthopaedic Allograft Surgery. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6885-1_19
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DOI: https://doi.org/10.1007/978-3-7091-6885-1_19
Publisher Name: Springer, Vienna
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