Surgeons and orthopedists from University Hospital in St. Anne di Brno again experienced phenomenal success. Two-thirds of the patient’s femur containing the tumor, including some soft tissue and muscle, was removed in a single operation that took almost 6 hours. Next, they performed a knee joint replacement and a special retaining endoprosthesis over the entire femur, thereby saving the hip joint.
“More than two-thirds of the patient’s femur was removed due to a rare, extensive tumor. The problem that arises is how to replace the bone. The options are replacement with a graft, which in the case of long bones will undergo necrosis, or with a stem endoprosthesis, which will be difficult to attach to the rest of the femur because it does not have enough support.” Tomáš Tomáš, head of FNUSA’s First Orthopedic Clinic, explains the course of the operation.
The young man will be able to move his legs without major complications
After weighing all the pros and cons, the St. Anne chose a method that ensured the patient could move all of her limbs without the possibility of further complications. “Retaining the stem endoprosthesis is not possible because there is little of the femur remaining and it will loosen over time, due to the large amount of pressure exerted on the bone at this site. We decided to use the so-called Compress system, in which the active part of the endoprosthesis is drawn to the bone by a special compressor, thereby activating the bone for cell proliferation, i.e. the bone will grow into the equipped part of the endoprosthesis. with a special surface.” added Principal Tomáš.
First operations in the Czech Republic and Eastern Europe
It is an implant that is not yet used in the Czech Republic. Previously, a total femur replacement method may have been chosen, i.e. removal of the entire femur including. knee and hip joints. This operation is unique by Central and Eastern European standards.
FNUSA’s First Orthopedic Clinic was founded in 1933 (this year it celebrates its 85th anniversary) as not only the first orthopedic clinic, but also as the first orthopedic workplace in Moravia. The clinic’s core program is the comprehensive therapy of bone, joint and soft tissue tumors with an emphasis on a multidisciplinary approach.
Currently, the clinic has 77 beds, 4 wards and intensive care units, 4 operating rooms, which performs about 2,500 operations per year. The clinic holds certificates to teach several joint replacement surgeries in the Czech Republic, Central and Eastern Europe, and Asia.
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