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Introduction Primary bone tumours are rare, with an incidence in the United Kingdom of around six cases per million of the population. The general orthopaedic surgeon may only encounter one or two in their life’s practice. It is therefore
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metastasis at diagnosis. Depending on primary cancer and its characteristics, the number of metastases present and their anatomical location, life expectancy, patient expectations, and activity level, the surgeon will be able to choose the optimal
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bones of the extremities. Metastatic diseases of the long bones Diagnostic algorithm Many authors 2 - 7 recommend rather similar diagnostic work-up protocols for potential metastatic diseases. These flow charts help orthopaedic surgeons
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accuracy of bone cuts ( 2 , 3 , 4 , 5 ). The first objective of surgery in the oncological setting is local control with complete excision of the tumor, while obtaining wide resection margins ( 6 ). However, it is obvious that the orthopedic surgeon must
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then turn out to be sarcomas. This was first described by Giuliano and Eilber in 1985 1 but has undoubtedly been commonplace for many years. It has acquired the eponym of a ‘whoops’ procedure as the surgeon (and the patient) are both surprised and
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, work requirements); pathological staging of the tumour (grading, histologic type, predictive histological and immunohistochemical markers) after a properly executed biopsy, by an experienced orthopaedic surgeon; radiological staging (local
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lower limbs, followed by the upper limbs and trunk. 8 Further common locations include the head/neck region and retroperitoneal space. 9 As these STSs are usually seen by Ear-Nose-Throat physicians and Gastrointestinal surgeons, they will not
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Surgeons (AAOS) states that there is insufficient evidence to make recommendations for or against any specific prophylactic agent, and the more recent NICE guideline from 2018 recommends aspirin, LMWH or rivaroxaban. 10 , 11 As there is no consensus on the
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and prognosis of these patients. Elbow tumours pose a diagnostic challenge for orthopaedic surgeons. Physical examination and a thorough history are the cornerstones of diagnosis. Patients usually present with persistent, unexplained, non
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). Innovations in surgical techniques have been introduced to improve outcomes and minimize recovery times ( 14 , 15 ). Successful RCC management mandates a collaborative effort from medical oncologists. radiation oncologists, and orthopedic surgeons ( 16 , 17