{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:30:24Z","timestamp":1787506224767,"version":"build-2736575974"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vet Comp Orthop Traumatol"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Objective\u2003The aim of this study was to describe a novel limb-sparing technique for the management of feline bone neoplasia using a custom-made femoral endoprosthesis in combination with a total knee replacement (TKR) prosthesis.<\/jats:p>\n                  <jats:p>Methods\u2003Two cats with distal femoral bone tumours underwent pelvic limb salvage procedures with custom-made implants designed from patient-specific computed tomography images to replace the distal femur and the stifle. In case 1, the first-generation implant was a combination of a cemented femoral endoprosthesis with a uniaxial hinged cemented TKR prosthesis. Due to aseptic loosening of the endoprosthesis, revision was performed with a second-generation femoral endoprosthesis modified with a short intramedullary peg and a lateral bone plate for immediate stability. In case 2, a third-generation endoprosthesis with an intramedullary peg and two orthogonal bone plates for immediate stability, combined with a custom-designed rotationally hinged cemented TKR prosthesis, was used. Clinical and radiographic follow-up was recorded.<\/jats:p>\n                  <jats:p>Results\u2003After revision surgery in case 1 and with the third-generation implant in case 2, no complications were encountered. Both cats showed minor mechanical restriction of stifle range of motion and good clinical long-term outcome without local tumour recurrence.<\/jats:p>\n                  <jats:p>Conclusion\u2003The combination of a femoral endoprosthesis and a TKR prosthesis can be a viable alternative for distal femoral limb salvage in cats.<\/jats:p>","DOI":"10.1055\/s-0041-1742184","type":"journal-article","created":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T18:51:35Z","timestamp":1642531895000},"page":"134-142","source":"Crossref","is-referenced-by-count":4,"title":["Limb-Sparing Surgery in Two Cats Using a Femoral Endoprosthesis with an Integrated Total Knee Replacement Implant"],"prefix":"10.1055","volume":"35","author":[{"given":"Eirik","family":"Kvale","sequence":"additional","affiliation":[{"name":"Fitzpatrick Referrals, Orthopaedics and Neurology, Godalming, United Kingdom"},{"name":"Fredrikstad Dyrehospital, Fredrikstad, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rocio Chicon","family":"Rueda","sequence":"additional","affiliation":[{"name":"Fitzpatrick Referrals, Orthopaedics and Neurology, Godalming, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"Fitzpatrick Referrals, Orthopaedics and Neurology, Godalming, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,1,18]]},"reference":[{"issue":"02","key":"ref1","first-page":"307","article-title":"Survey of animal neoplasms in Alameda and Contra Costa Counties, California. 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