Limb salvage surgery for primary bone sarcoma of the lower extremities: Long-term consequences of endoprosthetic reconstructions

1998 ◽  
Vol 5 (5) ◽  
pp. 423-436 ◽  
Author(s):  
S. John Ham ◽  
Heimen Schraffordt Koops ◽  
René P. H. Veth ◽  
Jim R. van Horn ◽  
Willemina M. Molenaar ◽  
...  
Keyword(s):  
Limb Salvage ◽  
Salvage Surgery ◽  
Lower Extremities ◽  
Bone Sarcoma ◽  
Limb Salvage Surgery ◽  
Primary Bone Sarcoma ◽  
Primary Bone ◽  
Long Term Consequences

scholarly journals Alterations in Muscle Architecture: A Review of the Relevance to Individuals After Limb Salvage Surgery for Bone Sarcoma

2020 ◽  
Vol 8 ◽  
Author(s):  
Christa M. Nelson ◽  
Victoria Marchese ◽  
Kelly Rock ◽  
Robert M. Henshaw ◽  
Odessa Addison
Keyword(s):  
Limb Salvage ◽  
Salvage Surgery ◽  
Bone Sarcoma ◽  
Muscle Architecture ◽  
Limb Salvage Surgery

Long term results of expanding prostheses for limb salvage surgery of children

2001 ◽  
Vol 37 ◽  
pp. S86
Author(s):  
G. Delepine ◽  
F. Delepine ◽  
S. Alkallaf ◽  
B. Markowska ◽  
N. Delepine
Keyword(s):  
Limb Salvage ◽  
Salvage Surgery ◽  
Long Term Results ◽  
Limb Salvage Surgery

Oncologic and clinical outcomes in pelvic primary bone sarcomas treated with limb salvage surgery

2015 ◽  
Vol 99 (3) ◽  
pp. 237-242 ◽  
Author(s):  
G. L. Farfalli ◽  
J. I. Albergo ◽  
L. E. Ritacco ◽  
M. A. Ayerza ◽  
D. L. Muscolo ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Limb Salvage ◽  
Salvage Surgery ◽  
Limb Salvage Surgery ◽  
Bone Sarcomas ◽  
Primary Bone

scholarly journals Psychosocial and functional outcomes in long-term survivors of osteosarcoma: A comparison of limb-salvage surgery and amputation

2010 ◽  
Vol 54 (7) ◽  
pp. 990-999 ◽  
Author(s):  
Rhonda S. Robert ◽  
Giulia Ottaviani ◽  
Winston W. Huh ◽  
Shana Palla ◽  
Norman Jaffe
Keyword(s):  
Limb Salvage ◽  
Functional Outcomes ◽  
Salvage Surgery ◽  
Limb Salvage Surgery ◽  
Long Term Survivors

scholarly journals Functional Outcomes of Limb Salvage Surgery in Patients with Giant Cell Tumor of Bone of the Lower Extremities: A Retrospective Study

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Daniela Kristina D. Carolino ◽  
Edwin Joseph R. Guerzon ◽  
Richard S. Rotor
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Limb Salvage ◽  
Functional Outcomes ◽  
Salvage Surgery ◽  
Lower Extremities ◽  
Cell Tumor ◽  
Limb Salvage Surgery ◽  
Msts Score

Giant cell tumor of the bone (GCTB) is a benign, locally aggressive neoplasm that is relatively rare, with a propensity to result in progressive bone destruction, and is associated with a high risk of recurrence. There is no widely held consensus regarding its ideal treatment. Worldwide, there are varying techniques ranging from intralesional curettage to resection of the lesion, supplemented with combinations of numerous adjuncts and fillers, depending on the resected amount and integrity of bone, as well as the preference of the surgeon. This was a cross-sectional study that included 20 patients who underwent limb salvage surgery for giant cell tumor of the bone of the lower extremities from January 2009 to February 2020 at two tertiary hospitals. The mean follow-up period was 37.3 months (SD=2.84). The extended curettage (EC) group had a mean Musculoskeletal Tumor Rating Scale (MSTS) score of 28.18 (SD=7.51) which is considered as an excellent outcome, while the resection (RS) group had an mean MSTS score of 19.67 (SD=11.02), which is considered as a good outcome. EC resulted to a total of eight complications (47%), while RS had one complication (33%). Prevalence of recurrence was noted to be 11.75% among those who underwent EC, while no recurrence was noted among those in the RS group. Use of bone cement as a filler was noted to have less recurrence as compared with the use of bone grafts, however were both were noted to result in excellent functional outcomes. Despite the prevalence of complications and recurrence of GCTB of the salvaged extremity in those who underwent EC, there is still report of excellent functionality. It is hence important to disclose all these possible outcomes and to stress the importance of compliance to follow-up for monitoring of these events.

scholarly journals Functional Outcome of Limb Salvage Surgery by Megaprosthesis for Malignant Bone Umours-Mid and Long Term Follow Up

2020 ◽  
Vol 12 (23) ◽  
pp. 189-194
Author(s):  
Manish R Shah ◽  
Manisha M Shah ◽  
Aditya K. Agrawal ◽  
Malkesh D Shah ◽  
Sarvang M Desai
Keyword(s):  
Functional Outcome ◽  
Limb Salvage ◽  
Salvage Surgery ◽  
Limb Salvage Surgery ◽  
Long Term Follow Up

scholarly journals THE APPLICATION OF EXPANDABLE ENDOPROSTHETIC RECONSTRUCTION FOR LIMB SALVAGE SURGERY IN THE SKELETALLY IMMATURE PATIENTS

2001 ◽  
Vol 13 (03) ◽  
pp. 141-147 ◽  
Author(s):  
RONG-SEN YANG
Keyword(s):  
Limb Salvage ◽  
Salvage Surgery ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Limb Salvage Surgery ◽  
Skeletally Immature ◽  
Endoprosthetic Reconstruction ◽  
Term Survival ◽  
Length Discrepancy ◽  
Primary Bone

The development of new image techniques enables the early detection of bone tumors in the extremities in the past two decades. In addition, new advance of adjuvant therapy improves the long-term survival of patients with primary bone malignancies. Since the primary bone malignancy frequently occurs at the metaphysis of long bones of pediatric patients in the first and second decade, many patients have to face the late problems of limb length discrepancy after the limb salvage operation. Since the inevitable limb length discrepancy will interfere the functional outcomes and cosmetic appearance, the reconstruction of limb defect after limb salvage remains a challenge. Several options of reconstruction are available for these patients, including resection arthrodesis, rotationplasty, osteochondral allograft reconstruction, and endoprosthetic reconstruction. All these methods are difficult to address the limb length discrepancy. The development of expandable endoprosthetic reconstruction makes limb-salvage surgery feasible in the skeletally immature and provides another choice of solution. This article presents the current status of custom-expandable endoprosthetic reconstruction in the skeletally immature patients after wide resection of primary bone malignancies in the extremity. The surgical options, complications and functional results will be emphasized. Basically these expandable endoprostheses can be classified according to the expansion design. Recent reports demonstrated that the results of expandable prosthesis in the growing children are rather acceptable. Some patients can regain the equal limb length after expansion of the prosthesis. However these patients have to take several expansion procedures for the equality of limb length during the growing period. A rather high complication rate of either endoprosthesis-related or disease-associated still needs to be settled in the near future. These include mechanical failure of the expansion mechanism, extensive metallosis, aseptic loosening, fatigue fracture, flexion contracture, local recurrence, delayed wound healing, fat embolism, local overgrowth of counterpart bone, nerve palsy, infection, and bone fracture. Some patients even require an amputation even after expandable endoprosthesis reconstruction because of difficult reconstruction or severe functional impairment. However, with regard to difficult rehabilitation for patients under 8 years, amputation or alternative options need to be considered. A comprehensive discussion with the parents and patient about the detailed treatment protocol is needed before performing reconstruction using expandable endoprosthesis.

scholarly journals Limb salvage surgery in primary bone tumors

1997 ◽  
Vol 68 (sup275) ◽  
pp. 101-102
Author(s):  
Stavros Voutzoulias ◽  
Nikolaos Demetzis ◽  
Ioannis Kyriazoglou ◽  
Dimitris Lekkas
Keyword(s):  
Limb Salvage ◽  
Bone Tumors ◽  
Salvage Surgery ◽  
Limb Salvage Surgery ◽  
Primary Bone Tumors ◽  
Primary Bone
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