Department of Emergency Medicine, Emergency University Hospital, Bucharest, Romania
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Department of Orthopaedics and Traumatology, Emergency University Hospital Bucharest, Romania
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Department of Orthopaedics and Traumatology, Emergency University Hospital Bucharest, Romania
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Department of Emergency Medicine, Emergency University Hospital, Bucharest, Romania
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Department of Orthopaedics and Traumatology, Emergency University Hospital Bucharest, Romania
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comprehension of RCC’s metastatic mechanisms to bone emphasizes the necessity for a multidisciplinary approach to management, incorporating targeted therapies that tackle the distinct molecular interactions propelling bone degradation ( 36 ). As research
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the art and the authors experience on this specific topic. Planning the surgical approach Once the resection has been planned and confirmed at the multidisciplinary consultation meeting, the surgeon can begin the second stage of surgical
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variable treatment responses, however, therapeutic approaches for different subtypes may significantly differ. Therefore, the aim of the present systematic review was to summarize recent knowledge on treatment of patients with locally advanced
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patients with a bone lesion is presented ( Fig. 1 ). 7 Fig. 1 Algorithm for patients presenting with a bony lesion around the elbow. A multidisciplinary team approach should include an orthopaedic oncologist, an interventional radiologist
University Emergency Hospital Bucharest, Romania
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University Emergency Hospital Bucharest, Romania
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University Emergency Hospital Bucharest, Romania
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University Emergency Hospital Bucharest, Romania
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kind of external debris that can cause osteolysis. 9 Another approach to obtaining good bone ingrowth is by applying high pressures at the level of bone–implant interface (compressive osseointegration). This is made possible by using special
University Emergency Hospital Bucharest, Romania
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Elias University Emergency Hospital, Bucharest, Romania
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University Emergency Hospital Bucharest, Romania
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, according to the fifth edition of the WHO Classification of Tumors of Soft Tissue and Bone ( 1 ). The rarity and heterogeneity of these tumors, together with the difficult management paradigm, necessitate a multidisciplinary approach involving a skilled
Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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Orthopedics and Traumatology Department, University Emergency Hospital Bucharest, Bucharest, Romania
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osteosynthesis, should be avoided. Indications for surgical treatment Following a multidisciplinary preoperative evaluation, candidates for surgical treatment can be identified and optimal approaches established. The main objective in the case of bone
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of recurrence; therefore, a more aggressive treatment approach may be chosen ( 4 ). Extended follow-up studies denied the historical belief that most UBCs will resolve with skeletal maturity ( 5 ). In 1979, Scaglietti et al. ( 6 ) introduced the
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considered prior to biopsy of a suspected STS. The ten simple rules listed in Table 1 aid planning a biopsy, choosing the optimal approach and obtaining sufficient tumour tissue to guide subsequent treatment ( Table 1 ). 26 On the other hand, one must
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; but there is no consensus about the most appropriate surgical approach – either arthroscopic or with an open synovectomy. 9 The presence of disease recurrence or residual disease with subsequent surgical intervention can be locally devastating to