Custom-made endoprostheses for the femoral amputation stump: an alternative to hip disarticulation in tumour surgery

N S Kalson, P D Gikas, W Aston, J Miles, G Blunn, R Pollock, J Skinner, T W R Briggs, S R Cannon

Research output: Contribution to journalArticlepeer-review


Disarticulation of the hip in patients with high-grade tumours in the upper thigh results in significant morbidity. In patients with no disease of the proximal soft tissue a femoral stump may be preserved, leaving a fulcrum for movement and weight-bearing. We reviewed nine patients in whom the oncological decision would normally be to disarticulate, but who were treated by implantation of an endoprosthesis in order to create a functioning femoral stump. The surgery was undertaken for chondrosarcoma in four patients, pleomorphic sarcoma in three, osteosarcoma in one and fibrous dysplasia in one. At follow-up at a mean of 80 months (34 to 132), seven patients were alive and free from disease, one had died from lung metastases and another from a myocardial infarction. The mean functional outcome assessment was 50 (musculoskeletal tumor society), 50 and 60 (physical and mental Short-form 36 scores). Implantation of an endoprosthesis into the stump in carefully selected patients allows fitting of an above-knee prosthesis and improves wellbeing and the functional outcome.

Original languageEnglish
Pages (from-to)1134-7
Number of pages4
JournalJournal of Bone and Joint Surgery - British Volume
Issue number8
Publication statusPublished - Aug 2010


  • Adolescent
  • Adult
  • Aged
  • Amputation
  • Amputation Stumps
  • Combined Modality Therapy
  • Disarticulation
  • Female
  • Femoral Neoplasms
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Patient Selection
  • Prostheses and Implants
  • Prosthesis Design
  • Prosthesis Implantation
  • Prosthesis-Related Infections
  • Retrospective Studies
  • Sarcoma
  • Treatment Outcome
  • Young Adult


Dive into the research topics of 'Custom-made endoprostheses for the femoral amputation stump: an alternative to hip disarticulation in tumour surgery'. Together they form a unique fingerprint.

Cite this