Laptop Battery 244 Faculty of Medicine Siriraj Hospital The reconstruction was in 44 distal femur, 17 proximal humerus, 12 proximal femur, 6 total femur, 6 intercalary, 3 proximal tibia and 1 distal humerus and total humerus. The indication were for reconstruction following primary malignant tumor resection in 48, failed endoprosthesis revision in 13, acute fracture or failed ORIF/or total joint replacement in 12, metastatic disease in 10, soft-tissue sarcoma in 4 and giant cell tumor in 3. In this series, 85 patients (69%) were without any complications. There were 9 amputations and 10 patients required a revision of the endoprosthesis. For the patients receiving primary endoprosthesis the 3-year failure rate was 22% versus 43% for a prior surgery for failed internal fixation or total joint replacement group, while the 3-year amputation rate was 8% versus 37%. The mean MSTS function analysis in primary endoprosthesis group was 84% versus 61% for a prior surgery group. In conclusion, modularity has extened the indication for endoprosthetic reconstruction. Although the complications were higher when compare with endoprosthesis for tumor resection alone, the function analysis for most of the patients equally good.
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Thinkpad (From Proceedings of the Sixty-Sixth Annual Meeting of the American Academy of Orthopaedic Surgeons, Anaheim, USA, 1999, P. 160-161)
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Laptop Computer EXPANDABLE ENDOPROSTHETIC RECONSTRUCTION FOR LIMB SALVAGE AS A LIMB EQUALIZATION TECHNIQUE IN THE SKELETALLY IMMATURE TUMOR PATIENT A. Asavamongkolkul, J J. Eckardt, R. Yang, FR..Eilber Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700
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Notebooks Key words : Expandable endoprosthesis, Limb salvage, Skeletally immature patient
Lenovo Purpose: To evaluate the initial UCLA experience (N - 32) of expandable endoprosthesis as a mean of limb salvage and extremity equalization in skeletally immature malignant tumor patients.
Hard Drive Methods: Between September 1984 to January 1996, 32 expandable endoprostheses were used for limb reconstruction following resection of malignant bone tumors in skeletally immature patients, giving a minimum of a 2 year follow-up for survivors. The 20 males and 12 females ranged in age from 3-15 years (mean 9.7 years) and had the MSTS stage of IIA-1, IIB-22, III-7, and parosteal osteosarcoma in 2. The histologic diagnosis was osteosarcoma in 23 and Ewing's sarcoma in 9. All patients but parosteal osteosarcomas received standard neoadjuvant therapy. Utilized were 22 Lewis Expandable Adjustable Prosthesis, 4 modular Wright Medical, 4 modular Howmedica, and 2 Techmedica expandable endoprosthesis.
Travelstar Results: Thirteen of 32 died, 2 are NED and 17 are CDF. Sixteen of 32 (51%) have not been expanded, because of early death in 1, the attainment of skeletally immaturity in 1, with an additional 3 waiting expansion. Sixteen of 32 (50%) have undergone 32 expansions, to a maximum of 8 cm, without any infection. The average time to the first expansion was 19 months (range 8-46 months). Seven patients had 1 expansion, 4 patients had 2, 3 patients had 3 and 2 patients had 4. The median expansion
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