Bone-Prosthesis Composite with Rotating Hinged-Knee Prosthesis in Limb Salvage Surgery for High-Grade Sarcoma Around the Knee

Bone prosthesis composite (BPC) had been widely-used in reconstruction after wide excision of malignant tumors around the knee. However, implant selection for BPC remains a dilemma. Forty-one patients with high-grade malignant bone tumors around the knee who underwent excision and reconstruction with BPC and rotating hinged knee (RHK) prosthesis were included. The mean follow-up time was 54 months (range, 31-78 months). The average Musculoskeletal Tumor Society Rating score was 93.4% (range, 73-100%). The mean range of motion was 125 degrees. Complications included 2 local recurrences, 2 nonunions, and 1 pen-prosthetic fracture. The reconstruction with BPC using the RHK prosthesis provided consistently good functional results with a low complication rate. The RHK prosthesis is a promising choice for BPC reconstruction. (C) 2014 Elsevier Inc. All rights reserved.