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Severe periprosthetic cortical atrophy in the skeletally immature: a report of three cases
Journal article   Open access   Peer reviewed

Severe periprosthetic cortical atrophy in the skeletally immature: a report of three cases

Kevin B Jones and Joseph A Buckwalter
The Iowa orthopaedic journal, Vol.25, pp.75-81
2005
PMCID: PMC1888775
PMID: 16089078
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1888775/View
Published (Version of record) Open Access

Abstract

We describe three patients who developed cortical bone atrophy around cemented endoprostheses used for partial femur reconstructions after resection of Ewing's sarcoma. We believe this to be related to remodeling secondary to stress-shielding. Rather than increased porosity and decreased mineral density, the stress-shielding in these skeletally immature patients resulted in altered morphology of the cortical bone, with apparent maintenance of density.
Prostheses and Implants Radiography Bone Density Femoral Neoplasms - pathology Humans Sarcoma, Ewing - pathology Femur - diagnostic imaging Bone Neoplasms - surgery Bone Neoplasms - pathology Atrophy Female Femoral Neoplasms - surgery Child Sarcoma, Ewing - surgery

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