Prosthetic replacement surgery for bone tumours – cure at less cost?
نویسندگان
چکیده
منابع مشابه
Prosthetic replacement of the distal femur for primary bone tumours.
Over a 16-year period, 135 custom-made distal femoral prostheses, based on a fully constrained Stanmore-type knee replacement, were used in the treatment of primary malignant or aggressive benign tumours. Survivorship analysis showed a cumulative success rate of 72% at five years and 64% at seven years. Intact prostheses in 91% of the surviving patients gave good or excellent functional results...
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The use of endoprostheses for limb salvage in primary bone tumours is highly specialised. Studies have shown no significant difference in survival, function or quality of life between patients with limb salvage and those with amputation. We have derived a formula for calculating the ongoing costs of limb salvage with an endoprosthesis which is based on actual costs and uses historical data to s...
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'The cost of a thing is the amount of what I call life which is required to be exchanged for it immediately or in the long run' (Thoreau, 1854).' Twenty years ago, cure, a return to health or being made sound or whole, was contemplated for less than a quarter of all children who developed malignant disease and indeed was a word rarely used. The dramatic improvements in survival seen for the maj...
متن کاملTotal femoral endoprosthetic replacement following excision of bone tumours.
We undertook a retrospective review of 33 patients who underwent total femoral endoprosthetic replacement as limb salvage following excision of a malignant bone tumour. In 22 patients this was performed as a primary procedure following total femoral resection for malignant disease. Revision to a total femoral replacement was required in 11 patients following failed segmental endoprosthetic or a...
متن کاملMaintenance Cost Analysis for Replacement Model with Perfect Minimal Repair
With the evolution of technology, the maintenance of sophisticated systems is of concern for system engineers and system designers. The maintenance cost of the system depends in general on the replacement and repair policies. The system replacement may be in a strictly periodic fashion or on a random basis depending upon the maintenance policy. At failure, the repair of the system may be perfor...
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ژورنال
عنوان ژورنال: British Journal of Cancer
سال: 1991
ISSN: 0007-0920,1532-1827
DOI: 10.1038/bjc.1991.42