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Osteosarcoma After Total Knee Arthroplasty: A Case Report.
Martínez-Collado, Pablo; Pujol, Oriol; Bustos, Andrés; Plomer, Martí; Carrasco, María G; Silva, Tulio; Vélez, Roberto; Minguell, Joan.
Afiliación
  • Martínez-Collado P; Orthopedic Surgery Department, Vall d'Hebron University Hospital, Universitat Autónoma de Barcelona, Barcelona, Spain.
  • Pujol O; Knee Surgery Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Universitat Autónoma de Barcelona, Barcelona, Spain.
  • Bustos A; Orthopedic Surgery Department, Vall d'Hebron University Hospital, Universitat Autónoma de Barcelona, Barcelona, Spain.
  • Plomer M; Knee Surgery Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Universitat Autónoma de Barcelona, Barcelona, Spain.
  • Carrasco MG; Orthopedic Oncologic Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Universitat Autónoma de Barcelona, Barcelona, Spain.
  • Silva T; Anatomopathological Department, Vall d'Hebron University Hospital, Universitat Autónoma de Barcelona, Barcelona, Spain.
  • Vélez R; Orthopedic Oncologic Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Universitat Autónoma de Barcelona, Barcelona, Spain.
  • Minguell J; Knee Surgery Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Universitat Autónoma de Barcelona, Barcelona, Spain.
JBJS Case Connect ; 14(2)2024 Apr 01.
Article en En | MEDLINE | ID: mdl-38728527
ABSTRACT
CASE A 79-year-old woman presented with a periprosthetic fracture 8 years after a total knee arthroplasty (TKA). Radiographs demonstrated tibial implant loosening with severe osteolysis. A high-grade osteosarcoma around the prosthesis was diagnosed, and a supracondylar femoral amputation was performed. After 2 years, no complications have occurred.

CONCLUSIONS:

A malignant tumor around a TKA is extremely rare. Surgeons should remain vigilant with patients who present with rapidly progressive or very aggressive implant loosening with osteolysis. Owing to its complexity and potentially devastating prognosis, treatment should be guided by a specialist multidisciplinary team. Complex limb salvage procedures or amputation is usually required.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Óseas / Osteosarcoma / Artroplastia de Reemplazo de Rodilla Límite: Aged / Female / Humans Idioma: En Revista: JBJS Case Connect Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Óseas / Osteosarcoma / Artroplastia de Reemplazo de Rodilla Límite: Aged / Female / Humans Idioma: En Revista: JBJS Case Connect Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos