A malignant bone tumour may develop in the femur of a child. In the majority of cases it will be necessary to resect the bone involved, growth plate and adjacent tissues. A modular endoprosthetic system has been developed which can be extended non-invasively to bridge the defect resulting from such a resection. Elongation is achieved by using an external magnetic field. In vitro tests with a prototype showed that the lengthening element met all requirements. Six animal experiments showed that the lengthening element also functioned in vivo.
LaneJ.M., SpindlerK., DuaneK.Large segmental reconstruction about the knee: Function and prosthetic performance. In: EnnekingW.F., ed. Limb Salvage in Musculoskeletal Oncology.New York: Churchill Livingstone, 1987; 194–7.
2.
SimF.H., ChaoE.Y.S.. Segmental prosthetic replacement of the knee after tumor resection. In: EnnekingW.F., ed. Limb Salvage in Musculoskeletal Oncology.New York: Churchill Livingstone1987; 379–88.
3.
VethR.P.H., NielsenH.K.L., OldhoffJ.The treatment of primary tumors of the femur with chemotherapy (if indicated), resection and reconstruction with an endoprosthesis.J Surg Oncol1985; 30: 252–8.
4.
VerkerkeG.J., Schraffordt KoopsH., VethR.P.H.An extendable modular endoprosthetic system for bone tumor management in the leg.J Biomed Eng1990; 12: 91–6.
5.
van KriekenFM. Methodical design of a modular femur endoprosthesis. PhD-thesis University of Twente, Enschede (The Netherlands): TISO (ISBN 9071382079).
6.
VerkerkeG.J., Schraffordt KoopsH., VethR.P.H.Design of a lengthening element for a modular femur endoprosthetic system.Proc Instn Mech Engrs, Part H: J Eng in Med1989; 203: 97–102.
7.
VerkerkeG.J., van KriekenFM, NieselH.K.L.The development of a connection between the modules of a modular femur endoprosthesis. In: YamamuroT., ed. New developments for limb salvage in musculoskeletal oncology.Kyoto: Springer Verlag, 1987; 649–51.
8.
VerkerkeG.J., Schraffordt KoopsH., VethR.P.H.Design of a load cell for the Wagner distractor.Proc Instn Mech Engrs, Part H: J Eng in Med1989; 203: 91–6.
9.
FrishE.E., LangleyN.R.. Biodurability evaluation of medical-grade high-performance silicone rubber. In: FrakerA.C., GriffinC.D., eds. Corrosion and degradation of implant materials.Louisville: ASTM special technical publication1983: 859: 278-93.
10.
SwansonJ.W., LebeauJ.E.. The effect of implantation on the physical properties of silicone rubber.J Biomed Mat Res1974; 8: 357–67.
11.
ScalesJ.T., SneathR.S., WrightK.W.J.. Design and clinical use of extending prostheses. In: EnnekingW.F., ed. Limb Salvage in Musculoskeletal Oncology.New York: Churchill Livingstone1987; 52–61.
12.
BiehlT.H., GrandingerR., ThomasW., HippE., AignerR.. The new GT custom-made knee joint prosthesis for malingnat bone tumors. In: EnnekingW.F., ed. Limb Salvage in Musculoskeletal Oncology.New York: Churchill Livingstne1987; 599–604.
13.
SpiresW.P.Jr, PaffordJ.J., LewisM.M.. Biomechanical evaluation of an extending adjustable tumor prosthesis in total joint and segmental replacement. In: EnnekingW.F., ed. Limb Salvage in Musculoskeletal Oncology.New York: Churchill Livingstone1987; 610–2.