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group, totally arthroscopic excisions were performed and the authors reported a five-year recurrence-free rate of 57%. Twelve patients developed recurrences between three months and two years post-operatively. However, no recurrence was noted after two
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is believed that a higher total dose given in a fractionated scheme will lead to a higher tumour response with remineralisation to strengthen the bone and postpone the occurrence of a fracture. 22 Post-operative radiotherapy is commonly advised
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intravenous gadolinium-based contrast can be helpful for determining whether a lesion is solid or cystic, evaluating the vascularity of the lesion’s tissue planes, and determining its vascular extension. Post-operative imaging of STS requires the extensive use
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technology with shorter prestressed stems which allows fixation into short residual bone segments. A challenging problem is the reattachment of tendons and muscles, which is crucial to post-operative functional recovery and overall stability of the system
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modality in combination with en bloc tumour excision. Radiation therapy significantly reduces the likelihood of LR, except in cases with small, low grade, superficial tumours. It may be given pre or post-operatively with similar oncological results but
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advantages and disadvantages. 43 , 44 For short-term life expectancies, intramedullar nailing with locking screws introduced by minimally invasive technique and augmented by bone cement is optimal. The patient may load the extremity immediately; post-operative
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Operate as atraumatically as possible Minimise incision or use CT-guided biopsy for deep lesions X Avoid any post-operative haematoma Perform thorough haemostasis, use a drain (passed directly through skin incision) and apply compression
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sarcoma follow-up, in that it is more easily able to distinguish tumour recurrence from post-operative scarring. 4 Dynamic MRI has also been shown to better assess the response of a bone tumour to chemotherapy than static MRI. 5 , 6 In certain
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intra-arterially. Pre-operative embolization reduces post-surgical complications, including pain and blood loss. Chatziioannou et al. highlighted that full embolization reduced blood loss to an average of 535 ± 390 mL compared to 1247 ± 1047 mL in
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). As the proximal fibula is the most commonly used autograft, care has to be taken to prevent common peroneal nerve or knee lateral collateral ligament injuries, especially when harvesting a proximal fibula with fibular head ( 18 , 43 , 53