Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
tumor topic hub

Limb Salvage — Endoprostheses

Limb salvage is preferred over amputation when margins can be obtained and function preserved. Endoprostheses replace resected bone segment, especially around knee and proximal humerus. Types: modular, custom‑made, expandable (pediatric). Complications: infection, aseptic loosening, mechanical failure, soft tissue problems. Survival: 70–80% implant survival at 10 years; improves quality of life over amputation.

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Limb salvage is preferred over amputation when margins can be obtained and function preserved. Endoprostheses replace resected bone segment, especially around knee and proximal humerus. Types: modular, custom‑made, expandable (pediatric). Complications: infection, aseptic loosening, mechanical failure, soft tissue problems. Survival: 70–80% implant survival at 10 years; improves quality of life over amputation.
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Question 1

What is the most common type of endoprosthesis used in limb salvage surgery for osteosarcoma of the distal femur?

Question 2

Which of the following is an absolute contraindication for limb salvage surgery?

Question 3

What is the primary advantage of modular endoprosthetic systems over custom-made prostheses?

Question 4

What type of fixation is most commonly used in endoprosthetic reconstruction?

Question 5

In which scenario would a growing prosthesis be indicated?

Question 6

What is a common complication associated with endoprosthetic reconstruction?

Question 7

Which type of endoprosthesis is primarily used for proximal femoral reconstructions?

Question 8

What is the typical survival rate of endoprostheses at 10 years post-surgery?

Question 9

What is the role of a gastrocnemius flap in proximal tibial endoprosthetic reconstruction?

Question 10

Which imaging modality is most useful for assessing the local extent of a tumor prior to limb salvage surgery?