Total Femur Replacement: Primary procedure for treatment of malignant tumours of the femur

S. Kalra (1) , A. Abudu (1) , H. Murata (1, 2) , R.J. Grimer (1) , R.M. Tillman (1) , S.R. Carter (1)

1 Orthopaedic Oncology Department
2 Kyoto Prefectural University of Medicine [Kyoto, Japon]

We present our experience of treating patients with tumours involving the whole femur with excision and total femur endoprostheses over the last 30 years (1975 to 2005). There were 26 consecutive patients (14 men and 12 women). Average age was 40 years (14–82 years) at the time of surgery and 21 of the patients had primary malignant bone tumours with five having the procedure for metastases. 11 patients were still alive of which nine were free of disease at the time of review at a mean follow-up of 57 months (3 to 348). The overall patient survival at 10 years was 37%. The survival of patients with a primary localised tumour was 50% at 10 years.

Mots clés: Malignant Tumours; Femur; Bone Sarcoma; Sarcoma; Bone; Malignant; Primary Tumour; Endoprosthetic Replacement; Total Femur Replacement; Total Femur; Limb Salavage

S. Kalra, A. Abudu, H. Murata, R.J. Grimer, R.M. Tillman, et al.. Total Femur Replacement: Primary procedure for treatment of malignant tumours of the femur. EJSO - European Journal of Surgical Oncology, 2010, 36 (4), pp.378. ⟨10.1016/j.ejso.2009.11.002⟩. ⟨hal-00576165⟩