Expandable non-invasive endoprostheses for growing patients

• Autorzy: Borkowski, P. , Kędzior, K. , Pawlikowski, M. , Skalski, K.
• Języki publikacji: EN

Abstrakty

EN

In the paper the problem of joint arthroplasty in children who have not reached their maturity is raised. The arthroplasty concerns replacement of a joint that does not function due to bone sarcoma that the child suffers from. Osteosarcoma and Ewing's sarcoma are the most common types of pediatric bone cancer and they afflict mainly long bones, i.e. femur and tibia. In such cases there are only two options: to amputate the affected limb or to replace the diseased bone. It goes without saying that the latter solution is most acceptable by the patient and surgeon. However, a special prosthesis has to be applied as the limbs still grow. To avoid leg length discrepancy between the healthy limb and the affected one expandable prostheses are inserted. Specific design of such prostheses allow one to lengthen the operated limb and preserve the same length of the two legs. In the paper an overview of expandable prostheses is presented. Also our own designs of expandable orthopaedic devices are shown. The devices are characterised by the fact that their length can be intelligently extended by means of a special electro-magnetic set.

Słowa kluczowe

PL

mięsak kości; plastyka stawu; endoproteza

EN

bone sarcoma; invasive expandable prosthesis; noninvasive expandable prosthesis; arthroplasty

• Czasopismo: Biocybernetics and Biomedical Engineering
• Rocznik: 2006
• Tom: Vol. 26, no. 1
• Strony: 85-93
• Opis fizyczny: Bibliogr. 8 poz., rys.

Twórcy

autor

Borkowski, P.

autor

Kędzior, K.

autor

Pawlikowski, M.

autor

Skalski, K.

• Warsaw University of Technology, ul. Narbutta 85, 02-524 Warsaw, Poland,

Bibliografia

• l. Li Y., Liu H., Tollon K., Andriacchi T., Delp S., Batra N.: Pediatrie Expandable Endoprosthesis (PEE). Biomedical Product Design and Evaluation. De Puy Orthopedies, March 2002, 1-36,2002.
• 2. Simon M. A., Springfield D.: Surgery for Bone and Soft-Tissue Tumors, Philadephia, Lippineott-Raven 1998, Chap 24a.
• 3. Eckardt J.J., Kabo J. M., Kelley C. M., Ward W. G., Asavamongkolkul A., Wirganowicz P.Z., Yang R. S., Eilber F. R.: Expandable Endoprosthesis Reconstruction in Skeletally Immature Patients with Tumors. Chnical Orthopaedics and Related Research 2000, 373, 51-61.
• 4. Verkerke G. J., Schraffordt Koops H., Veth R. P., Oldhoff J., Nielsen H. K., Van den Kroonenberg H. H., Grootenboer H. J.,Van Krieken F. M.: Design of a lengthening element for a modular femur endoprosthetic system. Proc. Inst Mech. Eng. 1989, 203, 97-102.
• 5. Wilkins R. M., Soubeiran A.: The Phenix Expandable Prosthesis, Clinical Orthopaedics Related Research 2001, 382, 51-58.
• 6. Borkowski P., Żółtowski J., Skalski K., Woźniak W.: Expandab1e endoprostheses for growing patients (in Polish), XXI Symposium on Machine Construction, WNT, 2003, 167-172.
• 7. Skalski K., Woźniak W., Żółtowski J., Borkowski P.: Construction of Expandab1e Endoprostheses-an Alternative for Limb Amputation in Growing Patients. Acta of Bioengineering and Biomechanics 2003, 5, 441-447.
• 8. Simpson A. H. R. W., Cunningham J. L., Kenwright J.: The Forces that Develop in the Tissues During Leg Lengthening, The Journa1 of Bone and Joint Surgery, 1996, 78-B, 979-983.