Cement Filling of Contained Defects from Bone Tumor Resections

Radu Prejbeanu; Jenel Patrascu; Dan Poenaru; Dinu Vermesan; Iulian Popa; Horia Hărăgus

doi:10.4028/www.scientific.net/KEM.614.168

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HomeKey Engineering MaterialsKey Engineering Materials Vol. 614Cement Filling of Contained Defects from Bone...

Cement Filling of Contained Defects from Bone Tumor Resections

Abstract:

The management of bone defects of the extremities has important particularities. Patients prefer limited procedures when facing with complex reconstructions and each filling option has benefits and disadvantages. We aimed to present our short and long term results with small contained bone defects after tumoral resections filled with different types of cement. Over a period of five years we identified ten cases that were operated in our service and met the inclusion criteria: contained bony defects following intralesional or marginal tumoral resections of the lower limb (weight bearing extremity skeleton) with a minimum of one year of follow-up. The most important finding of our study is that polymethylmethacrylate cement filling of contained bony defects after tumoral resections is the only one that allowed for immediate postoperative weight bearing. In addition, the bone cement interface proved stable as far as two years after the surgery. The cases described can contribute to a greater understanding when searching for solutions targeted on filling contained bone defects after intralesional resections. Polymethylmethacrylate cement proves to be a validated, versatile and safe procedure but future perspectives already show good outcomes with new osteoinductive components.

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Periodical:

Key Engineering Materials (Volume 614)

Pages:

168-172

DOI:

https://doi.org/10.4028/www.scientific.net/KEM.614.168

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Online since:

June 2014

Authors:

Radu Prejbeanu, Jenel Patrascu, Dan Poenaru, Dinu Vermesan, Iulian Popa, Horia Hărăgus

Keywords:

Bone Tumors, Cement Filling, Contained Defects, Intralesional Resection

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References

[1] J.M. Patrascu, M.L. Mioc, V. Dumitrascu, S. Nitescu, Musculo-skeletal tumors incidence and surgical treatment - A single center 5-retrospective: submitted to Eur Rev Med Pharmacol Sci. (2013).

Google Scholar

[2] P.J. Murray, T.A. Damron, J.K. Green, H.D. Morgan, F.W. Werner, Contained femoral defects: biomechanical analysis of pin augmentation in cement, Clin Orthop Relat Res. (2004) Mar; (420): 251-6.

DOI: 10.1097/00003086-200403000-00035

Google Scholar

[3] R. Prejbeanu, C. Vlad Daliborca, V. Dumitrascu , D. Vermesan, M. Mioc, A. Abbinante, R. Cagiano, Application of acrylic spacers for long bone defects after tumoral resections, Eur Rev Med Pharmacol Sci. (2013) Sep; 17(17): 2366-71.

Google Scholar

[4] D. Vermesan, R. Prejbeanu, H. Haragus, S. Nitescu, C. Bogdan, Polymethylmethacrylate augmented fixation around the knee: submitted to Rev Material Plastice (2013).

Google Scholar

[5] T. Jaeblon, Polymethylmethacrylate: properties and contemporary uses in orthopaedics, J Am Acad Orthop Surg. (2010) May; 18(5): 297-305.

Google Scholar

[6] D. Vermesan, R. Prejbeanu, H. Haragus, Foot and Ankle Acquired Bony Deformities of the Adult, Ed. Lambert Academic Publishing (2012).

Google Scholar

[7] B.C. Taylor, B.G. French, T.T. Fowler, J. Russell, A. Poka, Induced membrane technique for reconstruction to manage bone loss, J Am Acad Orthop Surg. (2012) Mar; 20(3): 142-50.

DOI: 10.5435/jaaos-20-03-142

Google Scholar

[8] I.C. Stancu, D.M. Dragusin, E. Vasile, R. Trusca, I. Antoniac, D.S. Vasilescu, Porous calcium alginate-gelatin interpenetrated matrix and its biomineralization potential, J Mater Sci Mater Med. (2011) Mar; 22(3): 451-60.

DOI: 10.1007/s10856-011-4233-7

Google Scholar

[9] D. Vermesan, R. Prejbeanu, H. Haragus, M. Ahmadi, G. Damian, Metallosis During Partial Component Hip Revision Arthroplasty, Rev Chim (Bucharest) (2012) Sep 63 9.

Google Scholar

[10] R. Prejbeanu, H. Vermesan, S.I. Dragulescu, D. Vermesan, A. Motoc, R. Sabatini, L. Santacroce, R. Cagiano, Thromboembolic risk after knee endoprosthesis, Eur Rev Med Pharmacol Sci. (2007) Sep-Oct; 11(5): 297-300.

Google Scholar