THE USE OF POLYETHYLENE TEREPHTHALATE MESH TUBE FOR ENDOPROSTHESIS DISLOCATION PROPHYLAXIS AND TREATMENT IN PATIENTS WITH BONE TUMORS
Muscle refixation step is very important for the gain of range of motion and complication prevention during bone and joint endoprosthesing in patients with bone tumors. We have performed 53 surgeries of primary and 3 of revisional endoprosthesing using polyethylene terephthalate mesh tube for joint capsule reconstruction and refixation of intra-operatively intersected muscles. In the surgeries of proximal femur endoprosthesing (17 patients), total femur endoprosthesing (13 patients) and proximal humerus replacement (26 patients) polyethylene terephthalate mesh tube allowed to restore the joint capsule and to refix properly the muscles which were resected during the operation. We have observed one proximal humerus endoprosthesis dislocation out of total 56 cases of joint replacements. We didnt observed any cases of endoprosthetic dislocation after total or proximal femur replacement. Any signs of endoprosthesis bed infection were also absent.