ClinicalTrials.gg
Not yet recruitingNCT07337018RERIOUpdated Jan 13, 2026

Evaluation of Tumor Resection and Reconstruction With Prosthetic Implants

An observational study in Bone Tumor, sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS. Not yet recruiting. Open to participants aged 30 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-01-13.

Sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
100
Ages
30 Years to 70 Years
Sex
All
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Study summary

Bone can be the site of primary malignant tumors or, more commonly, secondary lesions. The most frequent primary tumors are osteosarcoma, chondrosarcoma, and Ewing sarcoma, whereas the malignancies that most commonly metastasize to bone include breast, prostate, lung, kidney, and thyroid cancers.

For the treatment of these conditions-and, in some cases, for locally aggressive benign diseases-a surgical approach is often required, which may result in substantial bone loss. Most commercially available prostheses commonly used in orthopedic surgery are not always suitable, either because of the anatomical location of the procedure or the type of resection planned, and thus the extent of the bone defect to be reconstructed. Therefore, specific prosthetic implants designed for oncologic surgery are required.

For this reason, modular prostheses have been developed, allowing reconstruction of bone defects of varying sizes across different anatomical districts. In recent years, the development and use of 3D-printing technology for producing custom-made prostheses has also increased, with the aim of reconstructing bone defects in areas that are difficult to treat and achieving an accurate reproduction of the patient's anatomy. This technology enables reconstruction in a wide range of skeletal sites. Additionally, it allows for preoperative planning on printed anatomical models and opens the possibility of integrating materials with adjuvant-related properties into the prosthetic design, such as photothermal therapy or antimicrobial features.

Although numerous studies on this topic are available in the literature, they frequently involve small patient cohorts. There is therefore a need to expand case series with longer follow-ups to better assess the reliability and effectiveness of these treatment strategies in the development of reconstructive orthopedic oncologic surgery.

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Conditions studied

  • Bone Tumor

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03

In context

Bone Neoplasms

258 studies on the registry are indexed under Bone Neoplasms; 68 are open to participants now.

This study's planned enrollment of 100 is close to the median of 101 across 82 observational studies indexed under Bone Neoplasms.

Browse Bone Neoplasms studies →

Lead sponsor

Fondazione Policlinico Universitario Agostino Gemelli IRCCS is the lead sponsor of 952 studies on the registry; 541 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
30 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients with primary or secondary bone tumors treated at the Policlinico A. Gemelli

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age between 30 and 70 years;

Diagnosis of primary malignant or locally aggressive benign bone tumors, or secondary bone lesions with a primary diagnosis of breast, lung, prostate, kidney, or thyroid cancer;

Extensive bone loss precluding the use of currently available prostheses or standard surgical techniques;

Use of modular or custom-made prostheses produced with 3D-printing technology; minimum follow-up of 12 months;

(For patients in the retrospective phase) completion of evaluation questionnaires during outpatient follow-ups;

Obtaining , except for deceased patients enrolled in the retrospective phase of the study.

Exclusion criteria

Exclusion Criteria:

Patients with disease spread to other bone segments;

Age \<30 years or >70 years;

Patients who have undergone previous surgical procedures on the involved segment;

Follow-up of less than 1 year;

Incomplete clinical or radiological data sets;

Inability to obtain , except for deceased patients enrolled in the retrospective phase of the study

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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Study design

Observational model
Cohort
Time perspective
Other
Enrollment
100 participants (estimated)
Patient registry
No
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What researchers measure

Primary outcomes

  1. Karnofsky Performance Status

    Postoperative quality of life and functional status assessed using the Karnofsky Performance Status score.

    Time frame: From enrollment for at least one year

  2. Musculoskeletal Tumor Society (MSTS) Score

    Postoperative functional outcome assessed using the Musculoskeletal Tumor Society (MSTS) scoring system.

    Time frame: At final follow-up

  3. Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Score

    Upper-limb functional outcome assessed using the QuickDASH questionnaire in patients with upper extremity involvement

    Time frame: From enrollment for at least one year

  4. Oxford Knee Score

    Knee functional outcome assessed using the Oxford Knee Score in patients with knee involvement

    Time frame: From enrollment for at least one year

  5. Harris Hip Score

    Hip functional outcome assessed using the Harris Hip Score in patients with hip involvement.

    Time frame: From enrollment for at least one year

Secondary outcomes

  1. Incidence of postoperative complications

    Postoperative complications will be assessed through clinical evaluation and review of medical records, supported by imaging and laboratory findings when indicated. Complications include periprosthetic infection, implant loosening, wound dehiscence, dislocation (for implants including an articular component), and periprosthetic fracture. Each complication will be recorded as present or absent according to standard clinical diagnostic criteria

    Time frame: From enrollment for at least one year

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Sambri A, Zucchini R, Giannini C, Zamparini E, Viale P, Donati DM, De Paolis M. Silver-coated (PorAg(R)) endoprosthesis can be protective against reinfection in the treatment of tumor prostheses infection. Eur J Orthop Surg Traumatol. 2020 Dec;30(8):1345-1353. doi: 10.1007/s00590-020-02705-3. Epub 2020 May 24. PubMed 32449080 ↗
  • Donati F, Di Giacomo G, D'Adamio S, Ziranu A, Careri S, Rosa M, Maccauro G. Silver-Coated Hip Megaprosthesis in Oncological Limb Savage Surgery. Biomed Res Int. 2016;2016:9079041. doi: 10.1155/2016/9079041. Epub 2016 Aug 23. PubMed 27642605 ↗
  • Wang X, Liu Y, Zhang M, Zhai D, Wang Y, Zhuang H, Ma B, Qu Y, Yu X, Ma J, Ma H, Yao Q, Wu C. 3D Printing of Black Bioceramic Scaffolds with Micro/Nanostructure for Bone Tumor-Induced Tissue Therapy. Adv Healthc Mater. 2021 Nov;10(21):e2101181. doi: 10.1002/adhm.202101181. Epub 2021 Sep 15. PubMed 34523255 ↗
  • Zhu C, He M, Sun D, Huang Y, Huang L, Du M, Wang J, Wang J, Li Z, Hu B, Song Y, Li Y, Feng G, Liu L, Zhang L. 3D-Printed Multifunctional Polyetheretherketone Bone Scaffold for Multimodal Treatment of Osteosarcoma and Osteomyelitis. ACS Appl Mater Interfaces. 2021 Oct 13;13(40):47327-47340. doi: 10.1021/acsami.1c10898. Epub 2021 Sep 29. PubMed 34587454 ↗
  • Girolami M, Boriani S, Bandiera S, Barbanti-Brodano G, Ghermandi R, Terzi S, Tedesco G, Evangelisti G, Pipola V, Gasbarrini A. Biomimetic 3D-printed custom-made prosthesis for anterior column reconstruction in the thoracolumbar spine: a tailored option following en bloc resection for spinal tumors : Preliminary results on a case-series of 13 patients. Eur Spine J. 2018 Dec;27(12):3073-3083. doi: 10.1007/s00586-018-5708-8. Epub 2018 Jul 23. PubMed 30039254 ↗
  • Liang H, Yang Y, Guo W, Yan L, Tang X, Li D, Qu H, Zang J, Du Z. Elbow hemiarthroplasty with a 3D-printed megaprosthesis for defects of the distal humerus or proximal ulna after tumour resection : a preliminary report. Bone Joint J. 2022 Jun;104-B(6):747-757. doi: 10.1302/0301-620X.104B6.BJJ-2021-1516.R1. PubMed 35638204 ↗
  • Park JH, Jung HW, Jang WY. The usefulness of a three-dimensional printed segmental scapula prosthesis for recovering shoulder function in a patient with scapula chondrosarcoma: A case report. Medicine (Baltimore). 2021 Feb 26;100(8):e24817. doi: 10.1097/MD.0000000000024817. PubMed 33663101 ↗
  • Beltrami G, Ristori G, Nucci AM, Galeotti A, Tamburini A, Scoccianti G, Campanacci D, Innocenti M, Capanna R. Custom-Made 3D-Printed Implants as Novel Approach to Reconstructive Surgery after Oncologic Resection in Pediatric Patients. J Clin Med. 2021 Mar 4;10(5):1056. doi: 10.3390/jcm10051056. PubMed 33806387 ↗
  • Gursan O, Celtik M, Yanik B, Husemoglu RB, Havitcioglu H. Three-Dimensionally-Printed Joint-Preserving Prosthetic Reconstruction of Massive Bone Defects After Malignant Tumor Resection of the Proximal Tibia. Cureus. 2021 Mar 9;13(3):e13784. doi: 10.7759/cureus.13784. PubMed 33842159 ↗
  • Yang QD, Mu MD, Tao X, Tang KL. Three-dimensional printed talar prosthesis with biological function for giant cell tumor of the talus: A case report and review of the literature. World J Clin Cases. 2021 May 6;9(13):3147-3156. doi: 10.12998/wjcc.v9.i13.3147. PubMed 33969102 ↗
  • Xu L, Qin H, Cheng Z, Jiang WB, Tan J, Luo X, Huang W. 3D-printed personalised prostheses for bone defect repair and reconstruction following resection of metacarpal giant cell tumours. Ann Transl Med. 2021 Sep;9(18):1421. doi: 10.21037/atm-21-3400. PubMed 34733973 ↗
  • Chen G, Yin Y, Chen C. Limb-salvage surgery using personalized 3D-printed porous tantalum prosthesis for distal radial osteosarcoma: A case report. Medicine (Baltimore). 2021 Nov 19;100(46):e27899. doi: 10.1097/MD.0000000000027899. PubMed 34797342 ↗
  • Pu F, Liu J, Shi D, Huang X, Zhang J, Wang B, Wu Q, Zhang Z, Shao Z. Reconstruction With 3D-Printed Prostheses After Sacroiliac Joint Tumor Resection: A Retrospective Case-Control Study. Front Oncol. 2022 Jan 4;11:764938. doi: 10.3389/fonc.2021.764938. eCollection 2021. PubMed 35059310 ↗
  • Wang S, Luo Y, Zhang Y, Wang Y, Zheng C, Tu C, Zhou Y. Case Report: Reconstruction of Medialis Malleolus (1/4 of the Ankle Joint) After Resection of Distal Tibia Tumor With an Uncemented Three-Dimensional-Printed Prosthesis. Front Surg. 2022 Mar 24;9:844334. doi: 10.3389/fsurg.2022.844334. eCollection 2022. PubMed 35402484 ↗
  • Park JW, Kang HG. Application of 3-dimensional printing implants for bone tumors. Clin Exp Pediatr. 2022 Oct;65(10):476-482. doi: 10.3345/cep.2021.01326. Epub 2021 Dec 23. PubMed 34942688 ↗
  • Zhang HR. Application and Development of Megaprostheses in Limb Salvage for Bone Tumors Around the Knee Joint. Cancer Control. 2022 Jan-Dec;29:10732748221099219. doi: 10.1177/10732748221099219. PubMed 35499495 ↗
  • Thorkildsen J, Strom TA, Strom NJ, Sellevold S, Norum OJ. Megaprosthesis for Metastatic Bone Disease-A Comparative Analysis. Curr Oncol. 2022 May 10;29(5):3460-3471. doi: 10.3390/curroncol29050279. PubMed 35621669 ↗
  • Denissen JJPM, Koenders N, van Hinte G, Groen F, van der Wees PJ, van der Geest ICM, Dierselhuis EF. Functional outcomes after reverse shoulder megaprosthesis following resection of malignant bone tumor in the proximal humerus: a systematic review and meta-analysis. JSES Int. 2023 Mar 31;7(4):592-600. doi: 10.1016/j.jseint.2023.02.018. eCollection 2023 Jul. PubMed 37426912 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07337018
Responsible party
Sponsor
First posted
Jan 13, 2026
Start date
Jan 1, 2026 (estimated)
Primary completion
Nov 30, 2027 (estimated)
Completion
Nov 30, 2028 (estimated)
Last update
Jan 13, 2026

Oversight

FDA-regulated drug
No
View the source record on ClinicalTrials.gov ↗

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This study is not yet recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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