Total femur replacement surgery due to a chondrosarcoma - a metastatic bone cancer!
This surgery, also knows as femur arthroplasty, is commonly done after a neoplastic involvement of the bone. It represents an important surgical option in limb salvage reconstruction, with most recognized applications in oncologic reconstruction. In the past, patients with cancer of the femur were advised to undergo a hip disarticulation or transfemoral amputation. It is now feasible to salvage the limb in selected patients, by excising the entire femur together with any contiguous soft tissue tumor and replacing it with an endoprosthesis.This patient suffered from a chondrosarcoma, an aggressive cancer that may occur in any bone, especially the pelvic, shoulder and lower limb bones. It is resistant to chemotherapy and radiotherapy, which makes it challenging to deal with and makes surgery mandatory. A limb-sparing operation, seen above, is done in such cases when amputation is avoidable.
Incredible! When it comes to an endoprothesis in our hospital (elective surgery in btw.) I’m always afraid of infections (low grade etc...). It’s incredible how a total femur replacement works: i wonder how you deal with all the muscles, especially with the M. quadriceps femoris or the adductors (like the canalis adductorius with the A./V./N. femoralis). How long is the total operation time? Are there a lot of infections? Is it always fixed with cement?
My husband had myxoid liposarcoma in his right thigh. The tumor was massive 12cmx11cmx22cm. After chemo including the red devil and approximately 25 radiation sessions, his docs removed most of the femur leaving a little at top.and bottom. He received an allograft along with his left fibula, hoping the allograft would take. Second surgery needed due to broken screws. They
Three years ago I was diagnosed with chondrosarcoma in the thigh bone.
And yes chemotherapy was not need it, instead, part of my bone , where the tumor was ,was repaced with another substance similar with cement
Beautiful picture!! I’m having a hard time comprehending how the muscles will work with the new femur after recovery, do you mind explaining how they will work with one another?
