The medial head gastrocnemius muscle transposition flap for coverage and functional restoration in limb-salvage surgery of bone tumors in the proximal tibia

2011 ◽  
Vol 8 (1) ◽  
pp. 177-186
Author(s):  
Mohamed Abdel Rahman ◽  
Salah Nasser ◽  
Ikram Safe
Keyword(s):  
Limb Salvage ◽  
Bone Tumors ◽  
Gastrocnemius Muscle ◽  
Proximal Tibia ◽  
Salvage Surgery ◽  
Functional Restoration ◽  
Limb Salvage Surgery ◽  
Muscle Transposition ◽  
Transposition Flap ◽  
Medial Head

Limb salvage surgery for malignant bone tumors of the extremities in children and adolescents

2009 ◽  
Vol 8 (11) ◽  
pp. 631-637 ◽  
Author(s):  
Zhen Wang ◽  
Zheng Guo ◽  
Xiangdong Li ◽  
Luyu Huang ◽  
Qiang Ji ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Limb Salvage ◽  
Bone Tumors ◽  
Salvage Surgery ◽  
Limb Salvage Surgery ◽  
Malignant Bone Tumors

scholarly journals Proximal Tibia Osteoarticular Allografts in Tumor Limb Salvage Surgery

2009 ◽  
Vol 468 (5) ◽  
pp. 1396-1404 ◽  
Author(s):  
D. Luis Muscolo ◽  
Miguel A. Ayerza ◽  
German Farfalli ◽  
Luis A. Aponte-Tinao
Keyword(s):  
Limb Salvage ◽  
Proximal Tibia ◽  
Salvage Surgery ◽  
Limb Salvage Surgery

Influence of Chemotherapy on Perioperative Complications in Limb-Salvage Surgery for Bone Tumors

Limb Salvage ◽  
1991 ◽  
pp. 497-507
Author(s):  
D. J. McDonald ◽  
R. Capanna ◽  
F. Gherlinzoni ◽  
M. Campanacci ◽  
A. Ferruzzi ◽  
...  
Keyword(s):  
Limb Salvage ◽  
Bone Tumors ◽  
Salvage Surgery ◽  
Perioperative Complications ◽  
Limb Salvage Surgery

Does neo-adjuvant chemotherapy increase the risk of infection after limb salvage surgery for bone tumors?

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 20532-20532
Author(s):  
S. Sankaranarayanan ◽  
V. Sokolovskiy ◽  
V. Voloshin ◽  
M. Aliev ◽  
V. Zubikov ◽  
...  
Keyword(s):  
Adjuvant Chemotherapy ◽  
Limb Salvage ◽  
Bone Tumors ◽  
Salvage Surgery ◽  
Limb Salvage Surgery ◽  
Team Approach ◽  
Group A ◽  
Neo Adjuvant Chemotherapy ◽  
Group B

20532 Background: Neo-adjuvant chemotherapy is commonly used to eradicate the micro metastases and to prepare the patient for limb-salvage surgery. It helps the surgeon to get good oncological margin intraoperatively. Methods: Between the period of 1992 - 2005, 321 patients underwent limb salvage surgery for bone tumors at the Department of General Oncology (Bone & Soft tissue tumors), N. N. Blokhin Russian Cancer Research Center & Moscow Regional Clinical Research Institute, Moscow, Russian Federation. 230/321 patients (Group A) received neo-adjuvant chemotherapy. The course of chemotherapy ranges from 2 to 11 cycles. 95/321 patients (Group B) did not receive neo-adjuvant chemotherapy. The histological diagnoses were: 155 - High grade osteosarcoma, 38 - Giant cell tumor, 36 - Malignant fibrous histiocytoma, 29 - Chondrosarcoma, 25 - Periosteal osteosarcoma, 21 - Metastasis from other organs and 17 - Ewing's tumor. Results: In Group A, 27 patients (11.7%) and in Group B, 7 (7.3%) had infection of endoprosthetic bed. Suppression of the immune system by chemotherapeutic agents is the main reason for the higher incidence of infection in Group A. All the 27 patients in Group A and 2 patients in Group B had revisional endoprosthetic replacement. In group A 7/27 and in Group B none of the 7 patients died of post operative infection. The follow-up ranged from 1 - 13 years (mean follow-up 6 years). Discussion: In our opinion, it has a major disadvantage, i.e. it increases the risk of postoperative infection. How best to combine this drug is still unknown. In the future, therapy for bone tumors should be enhanced by advances in pharmacology, immunology, and molecular genetics that will lead to more efficacious, specific and less toxic treatments. An interdisciplinary team approach is needed in order to advance the goal of local tumor control, limb salvage with optimum extremity function, minimal morbidity and improved long term survival. No significant financial relationships to disclose.

Thromboembolic events in limb salvage surgery for bone tumors

2009 ◽  
Vol 20 (6) ◽  
pp. 605-609 ◽  
Author(s):  
Brandon A. Ramo ◽  
Ginger E. Holt
Keyword(s):  
Limb Salvage ◽  
Bone Tumors ◽  
Salvage Surgery ◽  
Limb Salvage Surgery ◽  
Thromboembolic Events

scholarly journals Accuracy of Bony Resection Under Computer Assisted Navigation Compared with Free-Hand Cutting for Bone Tumors Around the Knee

10.29007/dd82 ◽  
2018 ◽  
Author(s):  
Zhiping Deng ◽  
Bin Li ◽  
Tao Jin ◽  
Qing Zhang ◽  
Lin Hao ◽  
...  
Keyword(s):  
Limb Salvage ◽  
Bone Tumors ◽  
Salvage Surgery ◽  
Control Group ◽  
Computer Assisted ◽  
Limb Salvage Surgery ◽  
Assisted Navigation ◽  
Length Difference ◽  
Operative Specimen ◽  
Navigation Group

INTRODUCTIONBone tumor surgery can be more accurate under the computer assisted navigation. The researches have shown the benefit of margin control in pelvic, joint sparing surgery. The traditional method for bone cutting in limb salvage was by free hand. There was no literature focused on the comparison of cutting accuracy in bone tumors around the knee joint. The aim of this study was to compare the accuracy for bony resection under navigation and by free hand in limb salvage surgery around the knee.MATERIALS AND METHODSThirty-nine cases of bone tumors around the knee joint were resected under navigation (Stryker System) in our department from 2008 Sep to 2017 Nov. All the cases were performed intercalary resection in femur or tibia. The initial aim to use navigation was to make the resection more close to the pre-operative planning. The pre-operative planning was performed with the software OrthoMap at the working station (Stryker Company). The CT and MRI imaging were input to the system. We used intraoperative navigation (Iso-C based) to find the cutting plane and use the jig saw to cut the bone. The post-operative specimen was used for verification and compared with the pre-operative plan. The length difference was defined as specimen length minus planning resection length. The control group included 117 cases of tumors around the knee performed limb salvage surgery when bony cutting was achieved by free hand. This was a non-randomized control study. The method to find the cutting plane was by measuring the length from the joint line to the planned plane by ruler. The length of post-operative specimen by free hand was compared with the surgical plan. The length difference was detected in this control group. Then the differences in two groups were compared and analyzed.RESULTSThe resection lengths in navigation group ranged from 85-282mm and in the free hand group the length ranged from 90-330mm. The length difference between post-operative verification and pre-operative plan was detected. In the navigation group, the length difference was 0.5±2.5mm (range ,-5～5mm), while in the free hand group the length difference was 3.4±9.6mm (range ,-20～29mm), P<0.01. For the absolute value differences analysis, the difference was 2.0±1.6mm and 8.3±6.0mm for navigation and free hand group respectively, P<0.01.DISCUSSIONOur study shows that bone cutting with navigation can be more accurate than freehand cutting. The average length difference was 2.0mm (95% CI, 0.4 to 3.6mm) when compared to average 8.3mm (95% CI, 2.3 to 14.3mm). The accuracy with navigation is similar to the previous researches. Our comparison with free hand group gives the data how accurate the navigation can help surgeon to achieve. The result indicates that computer assisted navigation can make a role in limb salvage surgery if the precise resection is required.

Results of Limb Salvage Surgery in Primary Malignant Bone Tumors

1996 ◽  
Vol 31 (3) ◽  
pp. 569
Author(s):  
Han Koo Lee ◽  
Sang Hoon Lee ◽  
Han Soo Kim ◽  
Sang Min Lee ◽  
Joo Han Oh
Keyword(s):  
Limb Salvage ◽  
Bone Tumors ◽  
Salvage Surgery ◽  
Limb Salvage Surgery ◽  
Malignant Bone Tumors
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