NDLI: Osteoarticular allograft versus prosthetic allograft composites: which reconstruction method results in superior outcomes following the resection of proximal femur tumor in adolescent and preadolescent patients?

Content Provider	Springer Nature : BioMed Central
Author	Jamshidi, Khodamorad Bagherifard, Abolfazl Khabiri, Seyyed Saeed Mirzaei, Alireza
Abstract	Background Primary malignant tumors of the proximal femur in children are rare, and there is no consensus about the optimal reconstruction method for this condition. While methods for biological reconstruction—such as vascularized fibular allograft and rotationplasty—and nonbiological options like expandable endoprosthesis exist as reconstructive choices, each method has its distinct advantages and disadvantages. In this study, we compared the outcomes of osteoarticular allograft (OAA) with allograft-prosthetic component (APC) in reconstructing the proximal femur in a cohort of adolescent and preadolescent patients. Patients and methods Twenty patients aged between 8 and 13 years with primary malignant bone tumors of the proximal femur who were managed with either OAA or APC reconstruction were included. The median follow-up was 71 months (range 24–140). The primary outcome of interest was limb function evaluated by the Musculoskeletal Tumor Society (MSTS) score. Secondary outcomes of interest were surgical complications. Results The median MSTS score of the patients was 23 (range 20–25) in the OAA group and 26 (range 23–27) in the APC group (P = 0.003). Postoperative complications in the OAA group included two nonunions (18.1%), two infections (18.1%), six degenerative joint diseases (54.5%), and one allograft fracture (9.1%). The postoperative complications in the APC group included one nonunion (11.1%), one dislocation (11.1%), and two allograft fractures (22.2%). Allograft fractures were managed with revision and replacement with a tumor prosthesis. No revision was done to address the DJD in the OAA group. Conclusion OA and APC reconstructions of the proximal femur following tumor resection in adolescent and preadolescent patients each have their benefits and associated complications. However, APC reconstruction appears to provide superior limb function and a lower incidence of postoperative complications.
Related Links	https://bmcmusculoskeletdisord.biomedcentral.com/counter/pdf/10.1186/s12891-025-08598-9.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14712474
DOI	10.1186/s12891-025-08598-9
Journal	BMC Musculoskeletal Disorders
Issue Number	1
Volume Number	26
Language	English
Publisher	BioMed Central
Publisher Date	2025-04-02
Access Restriction	Open
Subject Keyword	Orthopedics Rehabilitation Rheumatology Sports Medicine Internal Medicine Epidemiology Proximal femur Malignant bone tumor Osteoarticular allograft Allograft-prosthetic component Reconstruction
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rheumatology
Journal Impact Factor	2.2/2023
5-Year Journal Impact Factor	2.6/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Distal Femur Allograft Prosthetic Composite Reconstruction for Short Proximal Femur Segments following Tumor Resection

Distal Femur Allograft Prosthetic Composite Reconstruction for Short Proximal Femur Segments following Tumor Resection

Megaprosthetic reconstruction of the distal femur with a short residual proximal femur following bone tumor resection: a systematic review

Uncemented allograft-prosthetic composite reconstruction of the proximal femur

Long-term results of uncemented allograft prosthesis composite reconstruction for the tumor in proximal femur: a minimum follow-up of sixty-five months

Pedicle frozen autograft–prosthesis composite reconstructions for malignant bone tumors of the proximal femur

Outcomes of modular endoprosthesis reconstruction versus cement spacer reconstruction following resection of proximal humeral tumors

CORR Insights®: Proximal Tibia Reconstruction After Bone Tumor Resection: Are Survivorship and Outcomes of Endoprosthetic Replacement and Osteoarticular Allograft Similar?

Clinical Study Distal Femur Allograft Prosthetic Composite Reconstruction for Short Proximal Femur Segments following Tumor Resection (2013)

Osteoarticular allograft versus prosthetic allograft composites: which reconstruction method results in superior outcomes following the resection of proximal femur tumor in adolescent and preadolescent patients?

Similar Documents

Distal Femur Allograft Prosthetic Composite Reconstruction for Short Proximal Femur Segments following Tumor Resection

Distal Femur Allograft Prosthetic Composite Reconstruction for Short Proximal Femur Segments following Tumor Resection

Megaprosthetic reconstruction of the distal femur with a short residual proximal femur following bone tumor resection: a systematic review

Uncemented allograft-prosthetic composite reconstruction of the proximal femur

Long-term results of uncemented allograft prosthesis composite reconstruction for the tumor in proximal femur: a minimum follow-up of sixty-five months

Pedicle frozen autograft–prosthesis composite reconstructions for malignant bone tumors of the proximal femur

Outcomes of modular endoprosthesis reconstruction versus cement spacer reconstruction following resection of proximal humeral tumors

CORR Insights®: Proximal Tibia Reconstruction After Bone Tumor Resection: Are Survivorship and Outcomes of Endoprosthetic Replacement and Osteoarticular Allograft Similar?

Clinical Study Distal Femur Allograft Prosthetic Composite Reconstruction for Short Proximal Femur Segments following Tumor Resection (2013)

Osteoarticular allograft versus prosthetic allograft composites: which reconstruction method results in superior outcomes following the resection of proximal femur tumor in adolescent and preadolescent patients?