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Prosthetic replacement of the knee and a large segment of the femur or tibia.

Total replacement of the knee and of a long segment of the femur or tibia provided functional recovery of the knee joint in thirteen patients in whom the length of the bone replaced ranged from seventy-five to 150 millimeters. Nine patients had benign bone tumors, three had malignant lesions, and one patient had salvage of a failed total knee arthroplasty, associated with loss of bone structure. After follow-up of two years or more, all patients had a stable extremity, excellent relief of pain, and a useful range of motion, although one patient required revision for loosening.

Adolescent↗

[Palliative surgery of metastatic bone tumors].

76 operated metastatic tumors of bone are reviewed. In the past 10 years modern methods (such as endoprothesis and the use of acrylic cement in the replacement of excised bone or for stabilisation of the spine) gave new possibilities to palliative surgery. Operative indication so that toleration of material are discussed.

Adolescent↗