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basic everyday activities, which will result in poorer treatment results and less patient satisfaction after surgery. Some authors suggest amputation of the limb above the elbow for good prosthetics, which also brings good final results. 21 , 24 , 25
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. ( https://doi.org/10.1302/0301-620X.97B2.34461 ) 7. Jeys LM Grimer RJ Carter SR & Tillman RM . Risk of amputation following limb salvage surgery with endoprosthetic replacement, in a consecutive series of 1261 patients . International
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69% of the cases. 2 Associated fractures can be present in 44% of patients. 9 The death rate on admission can be up to 10%. 10 - 12 Popliteal artery lesions and/or severe open fractures and mangled limbs can lead to amputation in 9
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, the majority of patients with Ewing sarcoma and osteosarcoma of the elbow can be treated with adjuvant chemotherapy, wide excision of the tumour and limb salvage procedures. 34 The choice between amputation and limb-sparing resection must be made
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least one complication, which is important when compared with the 21.2% rate of placebo. Most complications are mild/moderate and include bruising, injection-site haemorrhage or pain, upper limb pain, tenderness, ecchymosis, pruritus, swelling, skin
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in the past high-grade sarcomas of the elbow were treated with amputation due to high rates of LR, currently limb-sparing surgery can be performed in more than 90% of patients. 90 The most established adjuvant treatments for STS are chemotherapy
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. Any discrepancies between the investigators (MK/VG) were referred to a third investigator for arbitration (BvD). Full texts of articles meeting the inclusion criteria were obtained. All studies related to limb amputation in the upper/lower extremity
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the decision-making ( 14 , 16 ). The decision to amputate or to preserve the limb in cases of severe injury should be made as an individual decision. In rare cases and in extremely severe injuries, amputation may be recommended ( 33 ). In addition
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described by Gerrand et al may be difficult. 16 Amputation is sometimes needed either due to the nature of the excised tumour or due to its location. Timing of re-excision The optimum timing of re-excision has not been established. Han et al
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, clavicle plating, and major limb amputations ( 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 ). Although the cost benefits of this approach in these cases are evident, the absolute indications for these procedures are not yet completely clear and
