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Outcome after reconstruction of proximal femoral tumors: A systematic review
Author(s) -
Janssen Stein J.,
Langerhuizen David W. G.,
Schwab Joseph H.,
Bramer Jos A. M.
Publication year - 2019
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.25297
Subject(s) - medicine , surgery , amputation , prosthesis , treatment modality , modalities , implant , survival rate , systematic review , resection , medline , social science , sociology , political science , law
Tumor resection followed by reconstruction with a proximal femoral endoprosthesis or an allograft‐prosthesis composite are the two main alternatives for treatment of proximal femoral malignancies. This review describes the revision rate, implant survival, limb salvage rate, and function. Overall revision rates are high and reasons for failure differ between treatment modalities. Rate and reasons for amputation are comparable between both methods. Functional outcome was reasonable to good on average for both treatment modalities. Level of evidence: IV, systematic review and meta‐analysis.