Short Term Complications and Functional Results of Sarcoma Limb Salvage Surgeries

Authors

  • Ali Parsa Orthopedic Research Center, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran
  • Farzad Omidi-Kashani Orthopedic Research Center, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran
  • Lida Jarahi Mashhad University of Medical Sciences (MUMS), Mashhad, Iran
  • Mohammad Hassani Department of Orthopedic Surgery, Orthopedic Research Centre, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran
  • rahim hosseini Department of Orthopedic Surgery, Imamreza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:

Background: Limb salvaging surgeries are current surgical treatment of extremity bone sarcomas. Resected bonereplacement consists of two main methods; tumor prosthesis versus structural allograft. Biological reconstruction withan allograft is an economic cheap method in young sarcoma patients, however, the surgeons are more convinced withtumor prosthesis replacement.Methods: We evaluated the short-term complications and functional results of 40 patients with aggressive extremitytumors in a retrospective cohort study. The mean age of cases was 25 and we followed them for 24 months. 17patients underwent tumor prosthesis replacement after wide resection of limb sarcomas. 16 cases had structuralallograft reconstruction and 7 patients treated with amputation. We matched confounders including age, sex, bloodcell count and chemotherapy treatment in the study groups.Results: We found 15 major complications (45.5%) in limb salvage surgeries composing infection, allograft nonunion,allograft fracture, prosthesis fracture, prosthesis loosening and device failure that needed another surgery to beresolved. We had 10 major complications in allograft group (62%) and 5 in tumor prosthesis group (29.4%). Althoughthe rate of complications was higher in allograft group, it didn’t statistically indicate strong correlation (Fisher’s exact:0.084). Mean Musculo-Skeletal tumor rating Scale (MSTS) score was 25.8(73.7%) and 22.3(63.7%) in allograftgroup and prosthesis cases respectively. MSTS score had a normal distribution in the different groups with nosignificant difference between them.Conclusion: Although complications were higher in the allograft group, allograft could be offered to bone sarcomapatients, whom are predicted to have short life expectancy.Level of evidence: III

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

early results and short term complications of lasik surgery

introduction: today, lasik surgery is one of the most common and effective procedures for correction of refractive errors. less than 1% of patients undergoing lasik operation suffer from serious and 3-5% suffers from mild complications. also, results of lasik in most centers are promising. with the recent inauguration of the lasik center of yazd, it was decided to evaluate the results and compl...

full text

the effects of keyword and context methods on pronunciation and receptive/ productive vocabulary of low-intermediate iranian efl learners: short-term and long-term memory in focus

از گذشته تا کنون، تحقیقات بسیاری صورت گرفته است که همگی به گونه ای بر مثمر ثمر بودن استفاده از استراتژی های یادگیری لغت در یک زبان بیگانه اذعان داشته اند. این تحقیق به بررسی تاثیر دو روش مختلف آموزش واژگان انگلیسی (کلیدی و بافتی) بر تلفظ و دانش لغوی فراگیران ایرانی زیر متوسط زبان انگلیسی و بر ماندگاری آن در حافظه می پردازد. به این منظور، تعداد شصت نفر از زبان آموزان ایرانی هشت تا چهارده ساله با...

15 صفحه اول

limb salvage treatment vs. amputation in sarcoma

many years ago the treatment of sarcoma was radiotherapy up to 2000-4000 rad. this treatment was very complicated, due to producing neoplasm after radiotherapy. by this method of treatment of osteosarcoma, the rate of survival became about 20% (two years). the second method of treatment was chemotherapy for a period of 2-5 weeks that amputation was performed afterwards. by chemotherapy, the rat...

full text

Short term results of arthroscopic repair of subscapularis tendon tear

  Abstract   Background: Despite being the largest rotator cuff tendon of the shoulder, the   function and clinical relevance of subscapularis pathology has been largely ignored   in the literature. Although many studies have focused on subscapularis tears recently,   majority of them reported techniques for open repair. The advent of arthroscopy and   arthroscopic repair techniques has opened ...

full text

Angioplasty in critical limb ischaemia: one-year limb salvage results.

INTRODUCTION Lower extremity amputation prevention (LEAP) is an ongoing programme in our institution aimed at limb salvage in patients with critical limb ischaemia (CLI). Patients in the LEAP programme with reconstructible anatomy on initial Doppler imaging received either bypass surgery or percutaneous transluminal balloon angioplasty (PTA). We describe the 1-year limb salvage rates in 46 cons...

full text

Results and Complications of 1104 Surgeries for Velopharyngeal Insufficiency

Velopharyngeal insufficiency (VPI) means that the velopharyngeal closure is inadequate or disturbed. VPI may be organic or functional, congenital or acquired and is caused by structural alterations or paresis. The symptoms are primarily to be found in speech (hypernasality), more rarely in swallowing and hearing. The management types are as follows: speech therapy, surgery, speech bulb, and oth...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 7  issue 2

pages  161- 167

publication date 2019-03-01

By following a journal you will be notified via email when a new issue of this journal is published.

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023