Dedifferentiated chordoma: a report of four cases arising 'de novo'S A Hanna
Department of Orthopaedic Oncology, Royal National Orthopaedic Hospital, Stanmore, Middlesex HA74LP, UK
J Bone Joint Surg Br 90:652-6. 2008
..We describe four such cases, which were diagnosed de novo following primary excision, and discuss the associated clinical and radiological features...
Post-radiation sciatic neuropathy: a case report and review of the literaturePanagiotis D Gikas
Bone Tumour Unit, Royal National Orthopaedics Hospital, Middlesex, UK
World J Surg Oncol 6:130. 2008
..Post-radiation peripheral neuropathy has been reported in brachial and cervical plexuses and the femoral nerve...
Modular proximal femoral replacement in salvage hip surgery for non-neoplastic conditionsMathew D Sewell
Royal National Orthopaedic Hospital, Stanmore, United Kingdom
Acta Orthop Belg 76:493-502. 2010
..Modular proximal femoral replacement provided good function and versatility with an acceptable complication rate for patients with severe proximal femoral bone loss with or without infection...
Endoprosthetic replacement of the distal humerus following resection of bone tumoursS A Hanna
The Royal National Orthopaedic Hospital, Stanmore, England
J Bone Joint Surg Br 89:1498-503. 2007
..Custom-made endoprosthetic reconstruction of the elbow for bone tumours is a viable treatment in carefully selected patients. It maintains satisfactory function and provides good pain relief...
Femoral diaphyseal endoprosthetic reconstruction after segmental resection of primary bone tumoursS A Hanna
The Sarcoma Unit Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4 LP, UK
J Bone Joint Surg Br 92:867-74. 2010
..It allows immediate weight-bearing, is associated with a good long-term functional outcome, has an acceptable complication and revision rate and, most importantly, does not appear to compromise patient survival...
Cementless revision TKA with bone grafting of osseous defects restores bone stock with a low revision rate at 4 to 10 yearsS A Hanna
Joint Reconstruction Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP, UK
Clin Orthop Relat Res 469:3164-71. 2011
..Biologic reconstruction using morselized loosely-packed bone graft potentially allows for augmentation of residual bone stock while offering physiologic load transfer. However it is unclear whether the reconstructions are durable...
Outcome of intralesional curettage for low-grade chondrosarcoma of long bonesS A Hanna
Department of Orthopaedic Oncology, London Bone and Soft Tissue Sarcoma Service, Royal National Orthopaedic Hospital, Stanmore HA7 4LP, United Kingdom
Eur J Surg Oncol 35:1343-7. 2009
..The aim of this study was to assess the oncological and functional outcomes associated with intralesional curettage and cementation of the lesion as a treatment strategy...
Sending NHS patients for operations abroad: is the holiday over?Sammy A Hanna
Department of Trauma and Orthopaedic Surgery, Chase Farm Hospital, Enfield, Middlesex, UK
Ann R Coll Surg Engl 91:128-30. 2009
..A few presented to our clinic with more serious problems...
Very late local recurrence of Ewing's sarcoma--can you ever say 'cured'? A report of two cases and literature reviewS A Hanna
London Bone and Soft Tissue Tumour Service, Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK
Ann R Coll Surg Engl 90:W12-5. 2008
..Both have successfully undergone complete excision of the recurrences and are receiving postoperative adjuvant therapy. These cases highlight the need to remain vigilant for local recurrence, however long after the initial diagnosis...
Sacral chordoma: can local recurrence after sacrectomy be predicted?S A Hanna
Department of Orthopaedic Oncology, Sarcoma Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK
Clin Orthop Relat Res 466:2217-23. 2008
..Level of Evidence: Level IV, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence...
Late widespread skeletal metastases from myxoid liposarcoma detected by MRI onlySammy A Hanna
London Bone and Soft Tissue Tumour Service, Royal National Orthopaedic Hospital, Stanmore, HA7 4LP, UK
World J Surg Oncol 6:62. 2008
..In contrast to other soft tissue sarcomas, it is known to have a tendency to spread toward extrapulmonary sites, such as soft tissues, retroperitoneum, and the peritoneal surface. Bony spread, however, is not as common...
Bicondylar osteochondritis dissecans in the knee: a report of two casesS A Hanna
Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP, UK
J Bone Joint Surg Br 90:232-5. 2008
..A diagnosis of OCD should be considered in young patients with persistent knee pain and effusions, and MRI is the investigation of choice for early detection...
Custom endoprosthetic reconstruction for malignant bone disease in the humeral diaphysisAnthony McGrath
London Bone and Soft Tissue Tumour Service, The Royal National Orthopaedic Hospital, Stanmore, U K
Acta Orthop Belg 77:171-9. 2011
..There was a relatively high revision rate for aseptic loosening and peri-prosthetic fracture and patients should be counselled about this preoperatively...
Custom cementless THA in patients with skeletal dysplasia results in lower apparent revision rates than other types of femoral fixationMathew D Sewell
Joint Reconstruction Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK
Clin Orthop Relat Res 469:1406-12. 2011
..This is a technically demanding procedure with high complication and revision rates. Achieving good femoral fixation can be challenging because of the abnormal features of the hip...
Proximal ulna endoprosthetic replacement for bone tumours in young patientsMathew D Sewell
The Royal National Orthopaedic Hospital, Sarcoma Service, Stanmore, London, UK
Int Orthop 36:1039-44. 2012
..The optimal reconstructive method after resection of malignant bone tumours of the proximal ulna is unknown.We report the outcome of endoprosthetic replacement in a young patient population...
Total femoral endoprosthetic replacement following excision of bone tumoursM D Sewell
Institute of Orthopaedics and Musculoskeletal Science, The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK
J Bone Joint Surg Br 91:1513-20. 2009
..Total femoral endoprosthetic replacement can provide good functional outcome without compromising patient survival, and in selected cases provides an effective alternative to amputation...
Non-invasive extendible endoprostheses for limb reconstruction in skeletally-mature patientsM D Sewell
The Royal National Orthopaedic Hospital, Stanmore, England
J Bone Joint Surg Br 91:1360-5. 2009
..The use of a non-invasive extendible endoprosthesis in this manner provided patients with good functional results and restoration of leg-length equality, without the need for multiple open lengthening procedures...
The effect of femoral head size on functional outcome in primary total hip arthroplasty: a single-blinded randomised controlled trialSammy A Hanna
Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK
Hip Int 22:592-7. 2012
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Endoprosthetic reconstruction of the distal tibia and ankle joint after resection of primary bone tumoursA S Shekkeris
Royal National Orthopaedic Hospital, Stanmore, Middlesex, England
J Bone Joint Surg Br 91:1378-82. 2009
..Patients should, however, be informed of the risk of infection and the potential need for amputation if this cannot be controlled...