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preserving the joint congruity of the elbow may not be possible. Nowadays, where it is not possible for the joint to be preserved, wide resection and total elbow arthroplasty using a custom-made prosthesis with good soft tissue coverage is a viable option, as
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– 1430 . 3. Intermountain Joint Replacement Center Writing Committee . A prospective comparison of warfarin to aspirin for thromboprophylaxis in total hip and total knee arthroplasty . J Arthroplasty 2012 ; 27 : 1 – 9.e2 . 4
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reconstruction of the soft tissues and a hemiarthroplasty should be best chosen to reduce instability. 10 Corresponding to this, Du et al investigated hip instability in 58 patients with total femoral replacement for sarcoma. 11 In 12 patients, a LARS
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intralesional curettage and 84 patients treated with intralesional curettage with adjuvant bone cementation ( 10 ). In that study, they emphasized that the use of bone cement was associated with a higher risk of osteoarthritis, requiring joint replacement. Since
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, proximal humerus, distal and proximal femur, and the adjacent joints. The design of the modular systems allows not only segmental bone reconstruction but also total bone replacement of humerus or femur ( Fig. 5 ). The reconstructed segment can incorporate
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. Spinopelvic reconstruction should be considered, in relation to expected neurologic loss and functional instability ( Fig. 1 ), following a total or high sacrectomy or sacroiliac joint removal. Figure 1 Types of sacral bone resection: type 1 – low
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, swelling, and a limited range of motion (ROM) in the adjacent joint. Radiographs and magnetic resonance imaging (MRI) are the imaging modalities of choice for the diagnosis of this tumour. 1 – 3 One of the most distinguishing clinical features of GCTs
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Fontana F Fraschini G . Prosthetic joint replacement for long bone metastases: analysis of 154 cases . Archives of Orthopaedic and Trauma Surgery 2008 128 787 – 793 . ( https://doi.org/10.1007/s00402-007-0464-y ) 14 Herrenbruck T Erickson
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instability, valgus deformity, and degenerative changes ( 5 , 15 , 16 , 17 ). Resection of the distal fibula without reconstruction can result in functional deficits in the ankle joint, as the fibula plays an important role in ankle stability and movement
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-operative radiotherapy, if necessary, may be started early on. The incidence of fatigue fracture, however, increases with time. 9 , 25 , 34 , 45 For the treatment of metastases located near the knee joint, intramedullary nails and angulated plates with screws