Long-Term Results of Kyocera Modular Limb Salvage System after Resection of Tumors in the Distal Part of the Femur: Report from Japanese Musculoskeletal Oncology Group Study
The distal femur is a common site of bone tumors. After surgical resection, prosthetic replacement is a major reconstruction method. We aimed to elucidate the long-term outcomes of the Kyocera Modular Limb Salvage (KMLS) systems after resection of tumors in the distal part of the femur. Between 1998...
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| Veröffentlicht in: | Cancers 2022-02, Vol.14 (4), p.870 |
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| creator | Nakamura, Tomoki Matsumine, Akihiko Toda, Yu Takenaka, Satoshi Outani, Hidetatsu Fujiwara, Tomohiro Nishida, Yoshihiro Tsukushi, Satoshi Tome, Yasunori Kawamoto, Teruya Kito, Munehisa Shinohara, Naohiro Tomita, Masato Torigoe, Tomoaki Sudo, Akihiro Kawano, Hirotaka |
| description | The distal femur is a common site of bone tumors. After surgical resection, prosthetic replacement is a major reconstruction method. We aimed to elucidate the long-term outcomes of the Kyocera Modular Limb Salvage (KMLS) systems after resection of tumors in the distal part of the femur.
Between 1998 and 2014, 125 patients were treated at 14 institutions. There were 59 males and 66 females, with a mean age of 35 years. The mean follow-up period was 132 months.
There had been 65 additional surgeries, including 56 revisions and 9 amputations: 15 for aseptic loosening, 14 for stem breakage, 13 for deep infection, 13 for rotator-hinge bushing failure, 5 for local recurrence, and 5 for others. Implant survival rates at 10 and 15 years were 58.5% and 39.4%. The cumulative incidence of 15-year revision for femoral stem breakage was 31.7% in patients with cementless fixation. The 15-year cumulative incidence of revision for aseptic loosening was 19.8% in patients with cement fixation.
KMLS systems represent a reliable system with long-term results. Stem breakage should be considered in patients with cementless and/or smaller femoral stem sizes. Aseptic loosening should be considered in patients with cement systems after 10 years. |
| doi_str_mv | 10.3390/cancers14040870 |
| format | Article |
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Between 1998 and 2014, 125 patients were treated at 14 institutions. There were 59 males and 66 females, with a mean age of 35 years. The mean follow-up period was 132 months.
There had been 65 additional surgeries, including 56 revisions and 9 amputations: 15 for aseptic loosening, 14 for stem breakage, 13 for deep infection, 13 for rotator-hinge bushing failure, 5 for local recurrence, and 5 for others. Implant survival rates at 10 and 15 years were 58.5% and 39.4%. The cumulative incidence of 15-year revision for femoral stem breakage was 31.7% in patients with cementless fixation. The 15-year cumulative incidence of revision for aseptic loosening was 19.8% in patients with cement fixation.
KMLS systems represent a reliable system with long-term results. Stem breakage should be considered in patients with cementless and/or smaller femoral stem sizes. Aseptic loosening should be considered in patients with cement systems after 10 years.</description><identifier>ISSN: 2072-6694</identifier><identifier>EISSN: 2072-6694</identifier><identifier>DOI: 10.3390/cancers14040870</identifier><identifier>PMID: 35205618</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Body mass index ; Bone implants ; Bone tumors ; Cement ; Chemotherapy ; Femur ; Fractures ; Infections ; Metastasis ; Patients ; Polyethylene ; Prostheses ; Sarcoma ; Surgery ; Titanium alloys ; Tumors</subject><ispartof>Cancers, 2022-02, Vol.14 (4), p.870</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c487t-ad51b7aab452f4bb89a972ed08ee03ca75b1feb8aac72e5dc0ec881a619fbc233</citedby><cites>FETCH-LOGICAL-c487t-ad51b7aab452f4bb89a972ed08ee03ca75b1feb8aac72e5dc0ec881a619fbc233</cites><orcidid>0000-0002-4796-5817 ; 0000-0002-5407-5855 ; 0000-0003-4257-9180 ; 0000-0002-1099-7436 ; 0000-0003-0474-4368</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8870440/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8870440/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35205618$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakamura, Tomoki</creatorcontrib><creatorcontrib>Matsumine, Akihiko</creatorcontrib><creatorcontrib>Toda, Yu</creatorcontrib><creatorcontrib>Takenaka, Satoshi</creatorcontrib><creatorcontrib>Outani, Hidetatsu</creatorcontrib><creatorcontrib>Fujiwara, Tomohiro</creatorcontrib><creatorcontrib>Nishida, Yoshihiro</creatorcontrib><creatorcontrib>Tsukushi, Satoshi</creatorcontrib><creatorcontrib>Tome, Yasunori</creatorcontrib><creatorcontrib>Kawamoto, Teruya</creatorcontrib><creatorcontrib>Kito, Munehisa</creatorcontrib><creatorcontrib>Shinohara, Naohiro</creatorcontrib><creatorcontrib>Tomita, Masato</creatorcontrib><creatorcontrib>Torigoe, Tomoaki</creatorcontrib><creatorcontrib>Sudo, Akihiro</creatorcontrib><creatorcontrib>Kawano, Hirotaka</creatorcontrib><title>Long-Term Results of Kyocera Modular Limb Salvage System after Resection of Tumors in the Distal Part of the Femur: Report from Japanese Musculoskeletal Oncology Group Study</title><title>Cancers</title><addtitle>Cancers (Basel)</addtitle><description>The distal femur is a common site of bone tumors. After surgical resection, prosthetic replacement is a major reconstruction method. We aimed to elucidate the long-term outcomes of the Kyocera Modular Limb Salvage (KMLS) systems after resection of tumors in the distal part of the femur.
Between 1998 and 2014, 125 patients were treated at 14 institutions. There were 59 males and 66 females, with a mean age of 35 years. The mean follow-up period was 132 months.
There had been 65 additional surgeries, including 56 revisions and 9 amputations: 15 for aseptic loosening, 14 for stem breakage, 13 for deep infection, 13 for rotator-hinge bushing failure, 5 for local recurrence, and 5 for others. Implant survival rates at 10 and 15 years were 58.5% and 39.4%. The cumulative incidence of 15-year revision for femoral stem breakage was 31.7% in patients with cementless fixation. The 15-year cumulative incidence of revision for aseptic loosening was 19.8% in patients with cement fixation.
KMLS systems represent a reliable system with long-term results. Stem breakage should be considered in patients with cementless and/or smaller femoral stem sizes. Aseptic loosening should be considered in patients with cement systems after 10 years.</description><subject>Body mass index</subject><subject>Bone implants</subject><subject>Bone tumors</subject><subject>Cement</subject><subject>Chemotherapy</subject><subject>Femur</subject><subject>Fractures</subject><subject>Infections</subject><subject>Metastasis</subject><subject>Patients</subject><subject>Polyethylene</subject><subject>Prostheses</subject><subject>Sarcoma</subject><subject>Surgery</subject><subject>Titanium alloys</subject><subject>Tumors</subject><issn>2072-6694</issn><issn>2072-6694</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdUk1v1TAQjBCIVqVnbsgSFy6hju3EDgckVGj5eFUR73GONs7mNcWJgz8q5UfxH3HUUpX6stbszGhHu1n2sqBvOa_piYZJo_OFoIIqSZ9kh4xKlldVLZ4--B9kx95f0_Q4L2Qln2cHvGS0rAp1mP3Z2Gmf79CN5Af6aIIntiffFpucgVzYLhpwZDOMLdmCuYE9ku3iA44E-oBuFaEOg51W2S6O1nkyTCRcIfk4-ACGfAcX1uYKneEY3bskmm0Ce2dH8hVmmJIJuYheR2P9LzS46i4nbY3dL-Tc2TiTbYjd8iJ71oPxeHxXj7KfZ592p5_zzeX5l9MPm1wLJUMOXVm0EqAVJetF26oaasmwowqRcg2ybIseWwWgE1x2mqJWqoCqqPtWM86Psve3vnNsR-w0TsGBaWY3jOCWxsLQ_N-Zhqtmb28alfYgBE0Gb-4MnP0d0YdmHLxGY1JWG33DKs5VxSq6Ul8_ol7b6KYUb2UxLpUo14lOblnaWe8d9vfDFLRZr6F5dA1J8ephhnv-v93zvzAVtgM</recordid><startdate>20220210</startdate><enddate>20220210</enddate><creator>Nakamura, Tomoki</creator><creator>Matsumine, Akihiko</creator><creator>Toda, Yu</creator><creator>Takenaka, Satoshi</creator><creator>Outani, Hidetatsu</creator><creator>Fujiwara, Tomohiro</creator><creator>Nishida, Yoshihiro</creator><creator>Tsukushi, Satoshi</creator><creator>Tome, Yasunori</creator><creator>Kawamoto, Teruya</creator><creator>Kito, Munehisa</creator><creator>Shinohara, Naohiro</creator><creator>Tomita, Masato</creator><creator>Torigoe, Tomoaki</creator><creator>Sudo, Akihiro</creator><creator>Kawano, Hirotaka</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7TO</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4796-5817</orcidid><orcidid>https://orcid.org/0000-0002-5407-5855</orcidid><orcidid>https://orcid.org/0000-0003-4257-9180</orcidid><orcidid>https://orcid.org/0000-0002-1099-7436</orcidid><orcidid>https://orcid.org/0000-0003-0474-4368</orcidid></search><sort><creationdate>20220210</creationdate><title>Long-Term Results of Kyocera Modular Limb Salvage System after Resection of Tumors in the Distal Part of the Femur: Report from Japanese Musculoskeletal Oncology Group Study</title><author>Nakamura, Tomoki ; Matsumine, Akihiko ; Toda, Yu ; Takenaka, Satoshi ; Outani, Hidetatsu ; Fujiwara, Tomohiro ; Nishida, Yoshihiro ; Tsukushi, Satoshi ; Tome, Yasunori ; Kawamoto, Teruya ; Kito, Munehisa ; Shinohara, Naohiro ; Tomita, Masato ; Torigoe, Tomoaki ; Sudo, Akihiro ; Kawano, Hirotaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c487t-ad51b7aab452f4bb89a972ed08ee03ca75b1feb8aac72e5dc0ec881a619fbc233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Body mass index</topic><topic>Bone implants</topic><topic>Bone tumors</topic><topic>Cement</topic><topic>Chemotherapy</topic><topic>Femur</topic><topic>Fractures</topic><topic>Infections</topic><topic>Metastasis</topic><topic>Patients</topic><topic>Polyethylene</topic><topic>Prostheses</topic><topic>Sarcoma</topic><topic>Surgery</topic><topic>Titanium alloys</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakamura, Tomoki</creatorcontrib><creatorcontrib>Matsumine, Akihiko</creatorcontrib><creatorcontrib>Toda, Yu</creatorcontrib><creatorcontrib>Takenaka, Satoshi</creatorcontrib><creatorcontrib>Outani, Hidetatsu</creatorcontrib><creatorcontrib>Fujiwara, Tomohiro</creatorcontrib><creatorcontrib>Nishida, Yoshihiro</creatorcontrib><creatorcontrib>Tsukushi, Satoshi</creatorcontrib><creatorcontrib>Tome, Yasunori</creatorcontrib><creatorcontrib>Kawamoto, Teruya</creatorcontrib><creatorcontrib>Kito, Munehisa</creatorcontrib><creatorcontrib>Shinohara, Naohiro</creatorcontrib><creatorcontrib>Tomita, Masato</creatorcontrib><creatorcontrib>Torigoe, Tomoaki</creatorcontrib><creatorcontrib>Sudo, Akihiro</creatorcontrib><creatorcontrib>Kawano, Hirotaka</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancers</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakamura, Tomoki</au><au>Matsumine, Akihiko</au><au>Toda, Yu</au><au>Takenaka, Satoshi</au><au>Outani, Hidetatsu</au><au>Fujiwara, Tomohiro</au><au>Nishida, Yoshihiro</au><au>Tsukushi, Satoshi</au><au>Tome, Yasunori</au><au>Kawamoto, Teruya</au><au>Kito, Munehisa</au><au>Shinohara, Naohiro</au><au>Tomita, Masato</au><au>Torigoe, Tomoaki</au><au>Sudo, Akihiro</au><au>Kawano, Hirotaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Results of Kyocera Modular Limb Salvage System after Resection of Tumors in the Distal Part of the Femur: Report from Japanese Musculoskeletal Oncology Group Study</atitle><jtitle>Cancers</jtitle><addtitle>Cancers (Basel)</addtitle><date>2022-02-10</date><risdate>2022</risdate><volume>14</volume><issue>4</issue><spage>870</spage><pages>870-</pages><issn>2072-6694</issn><eissn>2072-6694</eissn><abstract>The distal femur is a common site of bone tumors. After surgical resection, prosthetic replacement is a major reconstruction method. We aimed to elucidate the long-term outcomes of the Kyocera Modular Limb Salvage (KMLS) systems after resection of tumors in the distal part of the femur.
Between 1998 and 2014, 125 patients were treated at 14 institutions. There were 59 males and 66 females, with a mean age of 35 years. The mean follow-up period was 132 months.
There had been 65 additional surgeries, including 56 revisions and 9 amputations: 15 for aseptic loosening, 14 for stem breakage, 13 for deep infection, 13 for rotator-hinge bushing failure, 5 for local recurrence, and 5 for others. Implant survival rates at 10 and 15 years were 58.5% and 39.4%. The cumulative incidence of 15-year revision for femoral stem breakage was 31.7% in patients with cementless fixation. The 15-year cumulative incidence of revision for aseptic loosening was 19.8% in patients with cement fixation.
KMLS systems represent a reliable system with long-term results. Stem breakage should be considered in patients with cementless and/or smaller femoral stem sizes. Aseptic loosening should be considered in patients with cement systems after 10 years.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35205618</pmid><doi>10.3390/cancers14040870</doi><orcidid>https://orcid.org/0000-0002-4796-5817</orcidid><orcidid>https://orcid.org/0000-0002-5407-5855</orcidid><orcidid>https://orcid.org/0000-0003-4257-9180</orcidid><orcidid>https://orcid.org/0000-0002-1099-7436</orcidid><orcidid>https://orcid.org/0000-0003-0474-4368</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Body mass index Bone implants Bone tumors Cement Chemotherapy Femur Fractures Infections Metastasis Patients Polyethylene Prostheses Sarcoma Surgery Titanium alloys Tumors |
| title | Long-Term Results of Kyocera Modular Limb Salvage System after Resection of Tumors in the Distal Part of the Femur: Report from Japanese Musculoskeletal Oncology Group Study |
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