Limb-sparing surgery for bone tumors: New developments
β Scribed by Peter F.M. Choong; Franklin H. Sim
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 38 KB
- Volume
- 13
- Category
- Article
- ISSN
- 8756-0437
No coin nor oath required. For personal study only.
β¦ Synopsis
The standard for local control of malignant bone tumors has been amputation. During the last decade, limb-sparing surgery has been common in the multidisciplinary management of bone sarcoma. Efforts continue toward improving local control of tumor while retaining the function of the reconstructed limb. Major challenges include defining adequate surgical margins and developing biologic and prosthetic reconstructions that match life expectancy. Our review highlights important refinements of earlier techniques, current innovations, and future directions in limb-salvage surgery.
π SIMILAR VOLUMES
Between 1969Between und 1989 conservative surgery for kidney tumors was performed in 123 patients. In 49 patients there was an imperative indication for a parenchyma-sparing operation because nephrectomy would have made dialysis obligatory. Thirty-five of these 49 patients show no signs of tumor pr
Since 1983, 77 patients have had limb salvage surgery for locally aggressive or malignant bone tumor of the limbs or pelvis. Twenty-nine patients had locally aggressive lesions with giant cell tumors the most prevalent, and 48 patients had malignant lesions, of which osteosarcomas predominated. Rese
Preoperative chemotherapy before limbsparing surgery for osteosarcoma is used to reduce the size of the tumour, facilitate removal and prevent distant metastases. Fifteen patients with osteosarcoma were treated with six different protocols. Assessment of the clinical and radiological size of the les
Prosthetic replacements are widely used in the reconstruction of deficits created by surgical resection for bone sarcomas. The longevity, complications, and functional outcome of these reconstructions vary by anatomic location, prosthesis type, and mode of fixation. Distal femoral replacement appear