Long-term outcome of patients with primary or secondary tumors of the proximal femur treated by bipolar modular tumor pr

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ORTHOPAEDIC SURGERY

Long‑term outcome of patients with primary or secondary tumors of the proximal femur treated by bipolar modular tumor prosthesis Wessam Gamal Abou Senna1 · Walid Atef Ebeid1 · Mohamed Abdel Moneim1 · Mostafa Saladin1 · Bahaa Zakarya Hasan2 · Ismail Tawfeek Badr2 · Mahmoud Abdel Karim1  Received: 17 January 2020 / Accepted: 16 August 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Purpose  The proximal femur is a common area for primary and also metastatic bone tumors. The objective of this study was to assess the long-term functional and oncological outcomes of patients with malignant primary or secondary tumors of the proximal femur, who underwent proximal femoral resection then reconstruction using bipolar modular tumor prosthesis. Methods  Sixty patients with proximal femoral malignant tumors underwent resection and bipolar modular prosthesis between 2000 and 2016, were retrospectively reviewed. Based on diagnosis and presence or absence of pathological fracture, patients were divided into groups. The functional outcome of the patients was evaluated using the Musculoskeletal Tumor Society (MSTS) functional scoring system for the lower extremities. Results  The mean age was 38 (9–80) years at the time of primary surgery. Pathological fracture was the presentation in 28 patients. The study included 44 patients with primary bone tumor and 16 patients with a secondary bone tumor. The mean MSTS functional score of the patients was 24.3 (range, 18–30) points with no significant difference in patients with primary or secondary tumors. The rate of complications in the present series was 45%. The most frequent complication was an infection in 10 patients (16.7%), followed by aseptic loosening in 7 patients (11.7%). Local recurrence of primary bone tumors occurred in three out of 44 patients (6.8%). Conclusion  Modular bipolar tumor prosthesis has a good long-term functional result in both primary and secondary tumors of the proximal femur, with no significant effect of age, presence or absence of pathological fracture or femoral resection length on the functional outcome. It was found that the only statistically significant variable regarding the risk of infection is previous surgeries. Level of evidence  Level IV, retrospective case series. Keywords  Malignant bone tumors · Proximal femur · Resection · Bipolar tumor prosthesis

Introduction * Mahmoud Abdel Karim [email protected] Mostafa Saladin [email protected] Bahaa Zakarya Hasan [email protected] Ismail Tawfeek Badr [email protected] 1



Trauma & Orthopaedic Surgery Department, Faculty of Medicine, Cairo University Hospitals, 33 A Kasr Al‑Ainy Street, 7th Floor, 11562 Cairo, Egypt



Trauma & Orthopaedic Surgery Department, Faculty of Medicine, Menoufia University, Shibin el Kom, Egypt

2

The proximal femur is a common area for primary and metastatic bone tumors [1, 2]. The femur is at a higher risk of pathological or impending fractures because of the significant mechanical st