این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
The Archives of Bone and Joint Surgery، جلد ۷، شماره ۲، صفحات ۱۶۱-۱۶۷
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Short Term Complications and Functional Results of Sarcoma Limb Salvage Surgeries
چکیده انگلیسی مقاله Background: Limb salvaging surgeries are current surgical treatment of extremity bone sarcomas. Resected bonereplacement consists of two main methods; tumor prosthesis versus structural allograft. Biological reconstruction withan allograft is an economic cheap method in young sarcoma patients, however, the surgeons are more convinced withtumor prosthesis replacement.Methods: We evaluated the short-term complications and functional results of 40 patients with aggressive extremitytumors in a retrospective cohort study. The mean age of cases was 25 and we followed them for 24 months. 17patients underwent tumor prosthesis replacement after wide resection of limb sarcomas. 16 cases had structuralallograft reconstruction and 7 patients treated with amputation. We matched confounders including age, sex, bloodcell count and chemotherapy treatment in the study groups.Results: We found 15 major complications (45.5%) in limb salvage surgeries composing infection, allograft non::union::,allograft fracture, prosthesis fracture, prosthesis loosening and device failure that needed another surgery to beresolved. We had 10 major complications in allograft group (62%) and 5 in tumor prosthesis group (29.4%). Althoughthe rate of complications was higher in allograft group, it didn't statistically indicate strong correlation (Fisher's exact:0.084). Mean Musculo-Skeletal tumor rating Scale (MSTS) score was 25.8(73.7%) and 22.3(63.7%) in allograftgroup and prosthesis cases respectively. MSTS score had a normal distribution in the different groups with nosignificant difference between them.Conclusion: Although complications were higher in the allograft group, allograft could be offered to bone sarcomapatients, whom are predicted to have short life expectancy.Level of evidence: III
کلیدواژه‌های انگلیسی مقاله Allograft, Limb salvage, Sarcoma, Tumor prosthesis
نویسندگان مقاله | Mohammad Ghareh Daghi
Orthopedic Research Center, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran


| Mohammad Hassani
Department of Orthopedic Surgery, Orthopedic Research Centre, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran


| Ali Parsa
Orthopedic Research Center, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran


| Farzad Omidi-Kashani
Orthopedic Research Center, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran


| Lida Jarahi
Mashhad University of Medical Sciences (MUMS), Mashhad, Iran


| rahim hosseini
Department of Orthopedic Surgery, Imamreza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
نشانی اینترنتی http://abjs.mums.ac.ir/article_12341.html
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/328/article-328-1285411.pdf
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده RESEARCH PAPER
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات