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Limb-salvage procedures for osteosarcoma

An alternative to amputation

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Summary

Amputation remains the standard surgical treatment for patients with osteosarcoma. However, in carefully selected patients, eradication of the primary lesion can be achieved by en bloc resection of the affected bone. Between 1963 and 1984, 77 patients with osteosarcoma of the extremity were seen. Forty-six patients were managed with combined treatment which included preoperative chemotherapy, operation and postoperative adjuvant chemotherapy between 1968 and 1984. We report the 11 patients in this group who underwent limbsalvage procedures.

Résumé

L'amputation reste le traitement habituel des malades atteints d'ostéosarcome. Cependant, chez des sujets soigneusement choisis, l'éradication de la lésion primitive peut être obtenue par résection de l'os atteint. De 1963 à 1984 les auteurs ont observé 77 patients porteurs d'un ostéosarcome des membres. 46 d'entre eux ont été traités par intervention chirugicale et chimiothérapie pré et post-opératoire. Présentation des 11 malades de ce groupe qui ont bénéficié d'une résection avec conservation de leur membre.

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Wong, A.C.W., Akahoshi, Y. & Takeuchi, S. Limb-salvage procedures for osteosarcoma. International Orthopaedics 10, 245–251 (1986). https://doi.org/10.1007/BF00454404

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