|Year of Birth||2011|
|Date of Surge||2022|
|Indikatition||Ewing Sarkom on the diaphysis of the right femur|
10-year-old patient with Ewing Sarcoma in the right diaphyseal femur. A proximal resection should be planned just below the epiphyseal plate at the greater trochanter to preserve it as much as possible.
A prosthesis system with a custom made proximal and distal component in combination with the MUTARS® Arthrodesis Implant was planned, which, in contrast to the classic MUTARS® connecting part for diaphyseal implant, simulates the curvature of the femur. The proximal component has a bulge with a hole for fixation of the M. iliopsoas tendon, as well as a drilling hole for fixation of the greater trochanter. For the distal femur, a custom made hollow stem with an oval design was planned due to the large resection.
For the resection of the proximal femur, a patient specific resection guide was made. Drill guides for the proximal and distal femur and a trial implant were also provided.
The surgeon was happy with the results. The postoperative X-rays show the proximal (left) and distal (right) components, as well as the MUTARS® Arthrodesis Implant (center).
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