{"id":"https://openalex.org/W2010482453","doi":"https://doi.org/10.1097/00003086-199812000-00021","title":"Use of Extendable Total Femoral Replacements in Children With Malignant Bone Tumors","display_name":"Use of Extendable Total Femoral Replacements in Children With Malignant Bone Tumors","publication_year":1998,"publication_date":"1998-12-01","ids":{"openalex":"https://openalex.org/W2010482453","doi":"https://doi.org/10.1097/00003086-199812000-00021","mag":"2010482453","pmid":"https://pubmed.ncbi.nlm.nih.gov/9917713"},"language":"en","primary_location":{"id":"doi:10.1097/00003086-199812000-00021","doi":"https://doi.org/10.1097/00003086-199812000-00021","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00003086-199812000-00021","pdf_url":null,"source":{"id":"https://openalex.org/S191421250","display_name":"Clinical Orthopaedics and Related Research","issn_l":"0009-921X","issn":["0009-921X","1528-1132"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Orthopaedics and Related Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113585618","display_name":"Oliver S. Schindler","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802751111","display_name":"Royal National Orthopaedic Hospital","ror":"https://ror.org/043j9bc42","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802751111","https://openalex.org/I4210118734"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Oliver S. Schindler","raw_affiliation_strings":["London Bone Tumour Service, Royal National Orthopaedic Hospital, London, England","The London Bone Tumour Service, The Royal National Orthopaedic Hospital, Bone Tumour Unit, London, England"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"London Bone Tumour Service, Royal National Orthopaedic Hospital, London, England","institution_ids":["https://openalex.org/I2802751111"]},{"raw_affiliation_string":"The London Bone Tumour Service, The Royal National Orthopaedic Hospital, Bone Tumour Unit, London, England","institution_ids":["https://openalex.org/I2802751111"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113786668","display_name":"Stephen R. Cannon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802751111","display_name":"Royal National Orthopaedic Hospital","ror":"https://ror.org/043j9bc42","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802751111","https://openalex.org/I4210118734"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Stephen R. Cannon","raw_affiliation_strings":["The London Bone Tumour Service, The Royal National Orthopaedic Hospital, Bone Tumour Unit, London, England"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The London Bone Tumour Service, The Royal National Orthopaedic Hospital, Bone Tumour Unit, London, England","institution_ids":["https://openalex.org/I2802751111"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076920894","display_name":"Tim W. R. Briggs","orcid":"https://orcid.org/0000-0003-4053-8385","observed_orcids":["https://orcid.org/0000-0003-4053-8385"]},"institutions":[{"id":"https://openalex.org/I2802751111","display_name":"Royal National Orthopaedic Hospital","ror":"https://ror.org/043j9bc42","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802751111","https://openalex.org/I4210118734"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Timothy W.R. Briggs","raw_affiliation_strings":["The London Bone Tumour Service, The Royal National Orthopaedic Hospital, Bone Tumour Unit, London, England"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The London Bone Tumour Service, The Royal National Orthopaedic Hospital, Bone Tumour Unit, London, England","institution_ids":["https://openalex.org/I2802751111"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039699545","display_name":"Gordon William Blunn","orcid":"https://orcid.org/0000-0003-2141-7385","observed_orcids":["https://orcid.org/0000-0003-2141-7385"]},"institutions":[{"id":"https://openalex.org/I124357947","display_name":"University of London","ror":"https://ror.org/04cw6st05","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947"]},{"id":"https://openalex.org/I2802751111","display_name":"Royal National Orthopaedic Hospital","ror":"https://ror.org/043j9bc42","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802751111","https://openalex.org/I4210118734"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Gordon W. Blunn","raw_affiliation_strings":["Department of Biomedical Engineering, Institute of Orthopaedics, University of London, London, England","The London Bone Tumour Service, The Royal National Orthopaedic Hospital, Bone Tumour Unit, London, England"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Engineering, Institute of Orthopaedics, University of London, London, England","institution_ids":["https://openalex.org/I124357947"]},{"raw_affiliation_string":"The London Bone Tumour Service, The Royal National Orthopaedic Hospital, Bone Tumour Unit, London, England","institution_ids":["https://openalex.org/I2802751111"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058372546","display_name":"Robert John Grimer","orcid":"https://orcid.org/0000-0002-1510-4596","observed_orcids":["https://orcid.org/0000-0002-1510-4596"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robert J. Grimer","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5103007763","display_name":"Peter S. Walker","orcid":"https://orcid.org/0000-0002-1934-8176","observed_orcids":["https://orcid.org/0000-0002-1934-8176","https://orcid.org/0000-0003-1026-6155"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Peter S. Walker","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5039699545","https://openalex.org/A5076920894","https://openalex.org/A5113585618","https://openalex.org/A5113786668"],"corresponding_institution_ids":["https://openalex.org/I124357947","https://openalex.org/I2802751111"],"apc_list":null,"apc_paid":null,"fwci":0.3701,"has_fulltext":false,"cited_by_count":80,"citation_normalized_percentile":{"value":0.62185614,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"357","issue":"357","first_page":"157","last_page":"170"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10253","display_name":"Sarcoma Diagnosis and Treatment","score":0.8008000254631042,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10253","display_name":"Sarcoma Diagnosis and Treatment","score":0.8008000254631042,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10975","display_name":"Bone Tumor Diagnosis and Treatments","score":0.1509000062942505,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.026799999177455902,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/malignant-bone-tumors","display_name":"malignant bone tumors","score":0.7480000257492065},{"id":"https://openalex.org/keywords/pediatric-oncology","display_name":"pediatric oncology","score":0.7689999938011169},{"id":"https://openalex.org/keywords/osteosarcoma","display_name":"osteosarcoma","score":0.8840000033378601},{"id":"https://openalex.org/keywords/ewing-sarcoma","display_name":"Ewing sarcoma","score":0.9959999918937683},{"id":"https://openalex.org/keywords/leg-length-discrepancy","display_name":"limb length discrepancy","score":0.8640000224113464},{"id":"https://openalex.org/keywords/prosthesis-revision","display_name":"prosthesis revision","score":0.8479999899864197},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.597000002861023},{"id":"https://openalex.org/keywords/musculoskeletal-tumor-society-score","display_name":"Musculoskeletal Tumor Society score","score":0.8930000066757202},{"id":"https://openalex.org/keywords/prosthetic-infection","display_name":"prosthesis infection","score":0.6029999852180481},{"id":"https://openalex.org/keywords/implant-loosening","display_name":"implant loosening","score":0.9319999814033508}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9590184688568115},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6904471516609192},{"id":"https://openalex.org/C2780554211","wikidata":"https://www.wikidata.org/wiki/Q176503","display_name":"Femur","level":2,"score":0.6564034223556519},{"id":"https://openalex.org/C2778715743","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis","level":2,"score":0.6521323919296265},{"id":"https://openalex.org/C2778256501","wikidata":"https://www.wikidata.org/wiki/Q223911","display_name":"Sarcoma","level":2,"score":0.6510968804359436},{"id":"https://openalex.org/C2776204877","wikidata":"https://www.wikidata.org/wiki/Q477415","display_name":"Amputation","level":2,"score":0.6076970100402832},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.5586169362068176},{"id":"https://openalex.org/C2779100257","wikidata":"https://www.wikidata.org/wiki/Q582849","display_name":"Femoral head","level":2,"score":0.5382494926452637},{"id":"https://openalex.org/C72202192","wikidata":"https://www.wikidata.org/wiki/Q16242523","display_name":"Acetabulum","level":2,"score":0.538019061088562},{"id":"https://openalex.org/C2777760704","wikidata":"https://www.wikidata.org/wiki/Q549534","display_name":"Osteosarcoma","level":2,"score":0.47115007042884827},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001859","descriptor_name":"Bone Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005269","descriptor_name":"Femur","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011474","descriptor_name":"Prosthesis Design","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011475","descriptor_name":"Prosthesis Failure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012086","descriptor_name":"Reoperation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012512","descriptor_name":"Sarcoma, Ewing","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D012516","descriptor_name":"Osteosarcoma","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019651","descriptor_name":"Plastic Surgery Procedures","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D019919","descriptor_name":"Prosthesis Implantation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1097/00003086-199812000-00021","doi":"https://doi.org/10.1097/00003086-199812000-00021","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00003086-199812000-00021","pdf_url":null,"source":{"id":"https://openalex.org/S191421250","display_name":"Clinical Orthopaedics and Related Research","issn_l":"0009-921X","issn":["0009-921X","1528-1132"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Orthopaedics and Related Research","raw_type":"journal-article"},{"id":"pmid:9917713","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9917713","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical orthopaedics and related research","raw_type":"Journal Article"},{"id":"pmh:oai:eprints.ucl.ac.uk.OAI2:58902","doi":null,"is_oa":false,"landing_page_url":"http://discovery.ucl.ac.uk/58902/","pdf_url":null,"source":{"id":"https://openalex.org/S4306400024","display_name":"UCL Discovery (University College London)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I45129253","host_organization_name":"University College London","host_organization_lineage":["https://openalex.org/I45129253"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"CLIN ORTHOP RELAT R (357) 157 - 170. (1998)","raw_type":"Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":27,"referenced_works":["https://openalex.org/W1880190221","https://openalex.org/W1965601853","https://openalex.org/W1994849263","https://openalex.org/W2015357546","https://openalex.org/W2027219279","https://openalex.org/W2031363667","https://openalex.org/W2040942100","https://openalex.org/W2051905784","https://openalex.org/W2052512461","https://openalex.org/W2077373711","https://openalex.org/W2094528509","https://openalex.org/W2139430517","https://openalex.org/W2145269744","https://openalex.org/W2159385623","https://openalex.org/W2186876643","https://openalex.org/W2224039004","https://openalex.org/W2253135504","https://openalex.org/W2268412882","https://openalex.org/W2283765154","https://openalex.org/W2308875460","https://openalex.org/W2314721263","https://openalex.org/W2329218644","https://openalex.org/W2338405988","https://openalex.org/W2346551441","https://openalex.org/W2346906682","https://openalex.org/W2416091449","https://openalex.org/W4239397610"],"related_works":["https://openalex.org/W2224039004","https://openalex.org/W3103192990","https://openalex.org/W2421626213","https://openalex.org/W2531242234","https://openalex.org/W4240347343","https://openalex.org/W2129538869","https://openalex.org/W2338209670","https://openalex.org/W2589976096","https://openalex.org/W2989349588","https://openalex.org/W3216834363"],"abstract_inverted_index":{"Although":[0],"rarely":[1],"required,":[2],"extendable":[3,89],"reconstruction":[4],"devices":[5],"for":[6,223,242],"replacing":[7],"the":[8,17,42,173,185,196,230,236],"entire":[9],"femur":[10],"offer":[11],"children":[12],"with":[13,71,76,85,195,202],"malignant":[14],"bone":[15],"tumors":[16],"opportunity":[18],"of":[19,44,68,102,140,169,172,184,206,229,235],"a":[20,212],"nearly":[21],"normal":[22],"development":[23],"by":[24],"overcoming":[25],"an":[26,138,203,224],"expected":[27],"leg":[28],"length":[29],"discrepancy.":[30],"Femoral":[31],"integrity":[32],"can":[33],"be":[34],"restored,":[35],"allowing":[36],"most":[37],"patients":[38,64,111,136,165],"to":[39,51,105],"walk":[40],"without":[41],"use":[43],"aids.":[45],"There":[46],"are":[47,240],"no":[48,129],"data":[49],"available":[50],"provide":[52],"evidence":[53],"regarding":[54],"long":[55,237],"term":[56,238],"results":[57,190,218],"and":[58,74,83,116,128,154,179,232],"morbidity":[59],"in":[60,163,193,211],"such":[61],"patients.":[62],"Six":[63],"(range":[65],"2-12":[66],"years":[67,118],"age),":[69],"three":[70,75],"osteogenic":[72],"osteosarcoma":[73],"Ewing's":[77],"sarcoma,":[78],"were":[79,112,166,191],"treated":[80],"between":[81,114,176],"1988":[82],"1996":[84],"custom":[86],"made":[87],"Stanmore":[88],"prosthetic":[90,156],"total":[91],"femoral":[92,177,209],"replacements.":[93],"One":[94],"patient":[95,231],"died":[96],"12":[97],"months":[98],"after":[99],"surgery":[100],"because":[101,168],"complications":[103],"relating":[104],"pulmonary":[106],"metastasis.":[107],"The":[108,188],"remaining":[109],"five":[110],"observed":[113],"2.7":[115],"8.9":[117],"(average,":[119],"5":[120],"years).":[121],"No":[122],"tumor":[123],"recurrence":[124],"has":[125,131,220],"been":[126,132],"recorded":[127],"amputation":[130],"performed.":[133],"All":[134],"surviving":[135],"underwent":[137],"average":[139,204],"9.4":[141],"operative":[142],"procedures":[143,150],"(range,":[144,151,158],"4-16":[145],"procedures)":[146],"including":[147],"6.4":[148],"extension":[149,183],"3-10":[152],"procedures),":[153],"one":[155],"revision":[157],"0-3":[159],"procedures).":[160],"Five":[161],"revisions":[162],"two":[164],"necessary":[167],"infection,":[170],"loosening":[171],"prosthesis,":[174],"mismatch":[175],"head":[178],"acetabulum,":[180],"or":[181],"full":[182],"extending":[186],"mechanism.":[187],"functional":[189,217],"measured":[192],"accordance":[194],"Musculoskeletal":[197],"Tumor":[198],"Society":[199],"rating":[200],"score,":[201],"result":[205],"77.3%.":[207],"Total":[208],"replacement":[210],"growing":[213],"individual":[214],"achieves":[215],"good":[216],"yet":[219],"various":[221],"risks":[222],"uncertain":[225],"outcome.":[226],"Careful":[227],"selection":[228],"realistic":[233],"appraisal":[234],"prospects":[239],"essential":[241],"successful":[243],"treatment.":[244]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":6},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":5}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
