The Journal of Arthroplasty
Volume 26, Issue 1 , Pages 161-163, January 2011

Enhancing Soft Tissue Ingrowth in Proximal Femoral Arthroplasty With Aortograft Sleeve:

A Novel Technique and Early Results

  • Eric R. Henderson, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of South Florida, Tampa, Florida
    • Corresponding Author InformationReprint requests: Eric R. Henderson, MD, 13220 Laurel Drive, MDF 5th Floor, Tampa, FL 33612.
    • ,
  • Jason M. Jennings, MD, DPT, ATC

      Affiliations

    • Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
    • ,
  • German A. Marulanda, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of South Florida, Tampa, Florida
    • ,
  • John S. Groundland, MS PT

      Affiliations

    • Department of Orthopaedic Surgery, University of South Florida, Tampa, Florida
    • ,
  • David Cheong, MD

      Affiliations

    • Sarcoma Program, Moffitt Cancer Center & Research Institute
    • ,
  • G. Douglas Letson, MD

      Affiliations

    • Sarcoma Program, Moffitt Cancer Center & Research Institute

Received 6 November 2009; accepted 6 July 2010. published online 01 September 2010.

Abstract 

Hip abductor function is critical to joint stability after proximal femoral arthroplasty. Normal soft tissue relationships are often violated during this procedure for complete tumor resection. Abductor insufficiency leads to abnormal gait mechanics and poor function. To improve soft tissue stability about a metallic proximal femoral endoprosthesis, we devised a novel use of vascular graft material. Two patients received a proximal femoral arthroplasty using this technique. These patients were followed for an average of 26.5 months. They demonstrated mean active hip abduction of 48°, hip flexion of 90°, mean Musculoskeletal Tumor Society score of 24 (80%), and Toronto Extremity Salvage Score of 80. We believe that this technique may be useful in achieving soft tissue stability about a metal endoprosthesis and may facilitate better function in patients undergoing this surgery.

Keywords: aortograft, proximal femoral arthroplasty, MSTS, TESS, abductor muscle, reattachment

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 No benefits or funds were received in support of this study.

PII: S0883-5403(10)00390-6

doi:10.1016/j.arth.2010.07.006

The Journal of Arthroplasty
Volume 26, Issue 1 , Pages 161-163, January 2011

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