Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
tumor topic hub

Mega Prosthesis — Indications & Complications

Used for segmental bone loss after tumor resection or non-oncologic massive defects (failed revision arthroplasty, periprosthetic fractures). Common sites: distal femur replacement (DFR), proximal tibia, proximal femur replacement (PFR), proximal humerus. Advantages: immediate stability, early mobilization; modular designs allow intra-op flexibility. Complications: infection, aseptic loosening, soft tissue failure (extensor mechanism in proximal tibia), mechanical breakage. Long-term survivorship influenced by adjuvant therapy, soft tissue coverage, and patient activity.

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Used for segmental bone loss after tumor resection or non-oncologic massive defects (failed revision arthroplasty, periprosthetic fractures). Common sites: distal femur replacement (DFR), proximal tibia, proximal femur replacement (PFR), proximal humerus. Advantages: immediate stability, early mobilization; modular designs allow intra-op flexibility. Complications: infection, aseptic loosening, soft tissue failure (extensor mechanism in proximal tibia), mechanical breakage. Long-term survivorship influenced by adjuvant therapy, soft tissue coverage, and patient activity.

MCQs

High-yield practice questions

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Question 1

What is the most common indication for the use of mega-prostheses in orthopaedic surgery?

Question 2

Which complication is most commonly associated with mega-prostheses?

Question 3

What is a key advantage of using modular designs in mega-prostheses?

Question 4

Which of the following is NOT a common site for mega-prosthesis implantation?

Question 5

Which feature of modern mega-prostheses helps reduce aseptic loosening rates?

Question 6

In the context of mega-prosthesis, what does the Mirels scoring system evaluate?

Question 7

What is a potential complication specifically associated with proximal tibia mega-prosthesis?

Question 8

Which of the following factors is NOT typically considered when assessing long-term survivorship of mega-prostheses?

Question 9

What is the purpose of using silver-coated mega-prostheses?

Question 10

Which of the following conditions is a non-oncological indication for mega-prosthesis usage?