Fourteen-Year Follow-Up of a Patient With a Hydroxyapatite Ceramic Matrix Reconstruction of and a Bone Graft for a Critical-Size Cortical Bone Defect: A Case Report

A 42-year-old man diagnosed with chondrosarcoma of the proximal femur underwent limb salvage by compartmental excision of the lesion and reconstruction with a custom-made hip prosthesis. The critical-size defect in the proximal femur was reconstructed with ceramic hemicylinders that were tied in pla...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 7; p. e63901
Main Authors Thilak, Jai, Venugopal, Adarsh, Menon, Venugopal
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 05.07.2024
Cureus
Subjects
Bone marrow
Case reports
Connective tissue
Defects
Growth factors
Hydroxyapatite
Interfaces
Oncology
Orthopedics
Prostheses
Radiology
Skin & tissue grafts
Stem cells
Surgery
Tissue engineering
ceramic
chondrosarcoma
bone graft
hydroxyapetite
cortical bone substitute
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Abstract A 42-year-old man diagnosed with chondrosarcoma of the proximal femur underwent limb salvage by compartmental excision of the lesion and reconstruction with a custom-made hip prosthesis. The critical-size defect in the proximal femur was reconstructed with ceramic hemicylinders that were tied in place with sutures and augmented with two fibular strut grafts and an autologous cancellous iliac crest bone graft. A fourteen-year follow-up of the same case revealed that substituted ceramic matrices can be converted into dynamic, metabolically active, living bone.
AbstractList A 42-year-old man diagnosed with chondrosarcoma of the proximal femur underwent limb salvage by compartmental excision of the lesion and reconstruction with a custom-made hip prosthesis. The critical-size defect in the proximal femur was reconstructed with ceramic hemicylinders that were tied in place with sutures and augmented with two fibular strut grafts and an autologous cancellous iliac crest bone graft. A fourteen-year follow-up of the same case revealed that substituted ceramic matrices can be converted into dynamic, metabolically active, living bone. 
A 42-year-old man diagnosed with chondrosarcoma of the proximal femur underwent limb salvage by compartmental excision of the lesion and reconstruction with a custom-made hip prosthesis. The critical-size defect in the proximal femur was reconstructed with ceramic hemicylinders that were tied in place with sutures and augmented with two fibular strut grafts and an autologous cancellous iliac crest bone graft. A fourteen-year follow-up of the same case revealed that substituted ceramic matrices can be converted into dynamic, metabolically active, living bone.
A 42-year-old man diagnosed with chondrosarcoma of the proximal femur underwent limb salvage by compartmental excision of the lesion and reconstruction with a custom-made hip prosthesis. The critical-size defect in the proximal femur was reconstructed with ceramic hemicylinders that were tied in place with sutures and augmented with two fibular strut grafts and an autologous cancellous iliac crest bone graft. A fourteen-year follow-up of the same case revealed that substituted ceramic matrices can be converted into dynamic, metabolically active, living bone.A 42-year-old man diagnosed with chondrosarcoma of the proximal femur underwent limb salvage by compartmental excision of the lesion and reconstruction with a custom-made hip prosthesis. The critical-size defect in the proximal femur was reconstructed with ceramic hemicylinders that were tied in place with sutures and augmented with two fibular strut grafts and an autologous cancellous iliac crest bone graft. A fourteen-year follow-up of the same case revealed that substituted ceramic matrices can be converted into dynamic, metabolically active, living bone.
Author Venugopal, Adarsh
Thilak, Jai
Menon, Venugopal
AuthorAffiliation 1 Orthopaedic Surgery, Amrita Hospital, Kochi, Kochi, IND
2 Orthopaedic Surgery, Rajagiri Hospital, Kochi, IND
AuthorAffiliation_xml – name: 1 Orthopaedic Surgery, Amrita Hospital, Kochi, Kochi, IND
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  fullname: Thilak, Jai
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  givenname: Adarsh
  surname: Venugopal
  fullname: Venugopal, Adarsh
  organization: Orthopaedic Surgery, Amrita Hospital, Kochi, Kochi, IND
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  givenname: Venugopal
  surname: Menon
  fullname: Menon, Venugopal
  organization: Orthopaedic Surgery, Rajagiri Hospital, Kochi, IND
BackLink https://www.ncbi.nlm.nih.gov/pubmed/39100051$$D View this record in MEDLINE/PubMed
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Keywords ceramic
chondrosarcoma
bone graft
hydroxyapetite
cortical bone substitute
Language English
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Snippet A 42-year-old man diagnosed with chondrosarcoma of the proximal femur underwent limb salvage by compartmental excision of the lesion and reconstruction with a...
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SubjectTerms Bone marrow
Case reports
Connective tissue
Defects
Growth factors
Hydroxyapatite
Interfaces
Oncology
Orthopedics
Prostheses
Radiology
Skin & tissue grafts
Stem cells
Surgery
Tissue engineering
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Title Fourteen-Year Follow-Up of a Patient With a Hydroxyapatite Ceramic Matrix Reconstruction of and a Bone Graft for a Critical-Size Cortical Bone Defect: A Case Report
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