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

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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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Authors and 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

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