Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Windhager, R; Karner, J; Kutschera, HP; Polterauer, P; Salzer-Kuntschik, M; Kotz, R.
Limb salvage in periacetabular sarcomas: review of 21 consecutive cases.
Clin Orthop Relat Res. 1996; 88(331):265-276
Doi: 10.1097/00003086-199610000-00038
Web of Science
PubMed
FullText
FullText_MUG
Google Scholar
- Führende Autor*innen der Med Uni Graz
- Windhager Reinhard
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- The oncologic and functional outcome was reviewed in 21 consecutive patients who underwent limb salvaging surgery for periacetabular sarcoma using a new surgical approach and different types of reconstruction between 1972 and 1990. Histologic diagnosis in 86% showed osteosarcomas, chondrosarcomas, and Ewing's tumors. Age ranged from 10.0 to 61.5 years (mean age, 32.9 years). The resection margin was wide in 15 patients but marginal in 2 patients and intralesional in 4 patients. All of the latter patients died of their disease. In all cases where 3-dimensional imaging was used, wide resection margins could be achieved, whereas this was possible only in 50% of the cases with conventional imaging techniques. Seven patients died of their disease 3 to 15 months after surgery, 2 died of chemotherapy induced sepsis, and 2 patients died perioperatively. At followup, 8 patients had no evidence of disease (mean, 57.6 months; range, 12-190 months), and 2 patients were alive with disease. Fourteen patients could be observed for at least 12 months (mean, 41.1 months) and were functionally evaluated according to Enneking's criteria. If extensive resection was necessary, the best results were found if the defect had been reconstructed with a custom made prosthesis. The results were only satisfactory after implantation of saddle prostheses and poor with allografts or when no reconstruction of the bone defect was done.
- Find related publications in this database (using NLM MeSH Indexing)
- Acetabulum - surgery
- Adolescent -
- Adult -
- Bone Neoplasms - mortality Bone Neoplasms - surgery
- Child -
- Female -
- Humans -
- Male -
- Middle Aged -
- Postoperative Complications - etiology
- Prostheses and Implants -
- Prosthesis Design -
- Sarcoma - mortality Sarcoma - surgery