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Limb Salvage Surgery in Bone Tumors: A Retrospective Study of 50 Cases in a Single Center

Indian Journal of Surgical Oncology volume 4, pages 248–254 (2013)Cite this article

Abstract

Modular segmental replacement system (MSRS) is one of the options for Limb conservation surgery in bone tumors. The study analyses a single center experience of use of MSRS for limb conservation in cases of primary bone tumors. Retrospective analysis was done for a series of cases of limb salvage procedures done over a five year period. All Patients with bone tumors who underwent limb salvage procedures utilising MSRS prosthesis were included in the study. The patients’ record were perused for pre operative staging; neoadjuvant therapy used, if any; surgical procedure done; follow-up for prosthesis related complications and overall survival achieved. Total of 50 cases studied,included 28 males and 22 females . Median age at diagnosis of 28 (10–73) years. Tumor localized in lower limb in 38 patients, and upper limb in 12 patients. Tumors were malignant in 28 patients (56 %) and benign in 22 (44 %). The most common diagnosis was osteosarcoma (21 patients (42 %)) . The median resection length was 15 cm (range 6–25). High grade tumors (grade 2a and 2b) was found in 27 of 29 cases(93.1 %) . 14 patients had prosthesis related complications. The mean follow-up was 5 years (range: 3–7). 42 patients of 50 were alive with the endoprosthesis at the last follow-up. Survival rate of prosthesis is 84 %. The modular segmental-replacement system prosthesis favoured by us in limb sparing surgery for bone tumors results in satisfactory results in terms of tumor control and limb function.

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Affiliations

  1. Department of Surgical Oncology, Command Hospital(CC), Lucknow, India

    Ashutosh Chauhan & Manomoy Ganguly

  2. Department of Orthopaedic, Command Hospital(SC), Pune, India

    G. R. Joshi

  3. Joint replacement Center, AHRR, Delhi, India

    B. K. Chopra & G. R. Reddy

Authors
  1. Ashutosh Chauhan
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  2. G. R. Joshi
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  3. B. K. Chopra
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  4. Manomoy Ganguly
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  5. G. R. Reddy
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Correspondence to Ashutosh Chauhan.

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Chauhan, A., Joshi, G.R., Chopra, B.K. et al. Limb Salvage Surgery in Bone Tumors: A Retrospective Study of 50 Cases in a Single Center. Indian J Surg Oncol 4, 248–254 (2013). https://doi.org/10.1007/s13193-013-0229-8

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  • DOI: https://doi.org/10.1007/s13193-013-0229-8

Keywords

  • Bone tumor
  • Limb salvage
  • Modular prosthesis