Complicações das endopróteses em pacientes com tumores ósseos do joelho

• Autor(a) principal: Moraes, Vinícius Ynoe de [UNIFESP]
• Data de Publicação: 2011
• Outros Autores: Gracitelli, Guilherme Conforto [UNIFESP], Rezende, Fernando Cury [UNIFESP], Peccin, Maria Stella [UNIFESP], Viola, Dan Caraí Maia [UNIFESP], Garcia Filho, Reynaldo Jesus [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522011000100011; http://repositorio.unifesp.br/handle/11600/6200
• topic: Bone neoplasms; Knee; Arthroplasty, Replacement, Knee; Osteosarcoma; Neoplasias ósseas; Joelho; Artroplastia do joelho; Osteosarcoma

Non-conventional endoprostheses (NCE) are frequently used in orthopedic oncology. The complications associated with this procedure have prompted research, due to the fact that it is commonly performed on young patients, with a higher survival rate. We conducted a systematic review of the literature, searching for the best scientific evidence on the subject. The research was carried out in the following databases: MEDLINE, EMBASE, CINAHL and the Cochrane Central Register of randomized controlled trials (CCTR), seeking to identify studies that report complications, and compare patellar resurfacing versus retention. The studies were selected according to the best methodological quality that exists for the subject. One hundred and forty six (146) studies were evaluated. No randomized clinical trial was found. We conducted a qualitative and quantitative evaluation of the work found (evidence levels IV and V). We used the Mann-Whitney U test for the statistical analysis. The results indicate a need for further studies that will enable us to reach a more solid conclusion. The rate of complications after NCE can be considered high, despite the low quality of the studies, as demonstrated by the studies that exist in the literature.