University Emergency Hospital Bucharest, Romania
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Introduction The dawn of extremity bone sarcoma management was dominated by amputation as a standard of surgical treatment. Although some attempts were made to perform limb-sparing procedures, by carrying out segmental resection and
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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Elias 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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in a situation where, following primary resection of the recurrence, the limb would be non-functional post-operatively, or in cases where only amputation is considered. Limb-sparing surgery may be possible if neoadjuvant treatments such as
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surgery to become a feasible treatment option in a larger number of patients ( 9 , 10 ). Li et al . reported no survival benefits of amputation in comparison to limb salvage surgery for osteosarcomas ( 11 ). Therefore, distal fibular resection became the
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PTTF retrospectively included – mean follow up of 5.3 years, with an implant, limb and prosthesis survival of 90%, 100% and 80%, respectively – four failures occurred (two infections, two mechanical failures) –> one amputation for infected prosthesis
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high-grade STS is surgery, complemented by radiotherapy (RTX) and in selected cases chemotherapy (CTX). Surgery Over the last 30 years, amputation has progressively become less important and has been mostly replaced by limb-sparing procedures in
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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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, 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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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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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
University of Basel, Basel, Switzerland
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The Bone and Soft Tissue Tumor Center of the University of Basel (KWUB), Basel, Switzerland
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Department of Radiology, University Hospital Basel, Basel, Switzerland
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Clarunis, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel, Switzerland
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The Bone and Soft Tissue Tumor Center of the University of Basel (KWUB), Basel, Switzerland
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limited role and multimodal treatment that entails surgery, radiotherapy, and systemic chemotherapy may be indicated ( 60 , 61 ). In addition, although limb-preserving surgery to preserve limb function is the main trend in surgical protocols, amputation