Classification of failure of limb salvage after reconstructive surgery for bone tumours

Bone and Joint Journal - Tập 96-B Số 11 - Trang 1436-1440 - 2014
Eric R. Henderson1, Mary I. O’Connor2, Pietro Ruggieri3, Rein hard Windhager4, Philipp T. Funovics5, C. L. M. H. Gibbons6, Wei Guo7, Henry J. Mankin8, H. Thomas Temple9, G. Douglas Letson10
1Norris Cotton Cancer Center, Musculoskeletal Oncology Program, One Medical Center Drive, Lebanon, PA, 03756, USA.
2ProfessorMayo Clinic, Department of Orthopaedic Surgery, Jacksonville, Florida, USA.
3ProfessorInstituto Ortopedico Rizzoli, Orthopaedic Oncology Division, Bologna, Italy.
4ProfessorUniversity of Vienna, Department of Orthopaedic Surgery, Vienna, Austria.
5Assistant Professor University of Vienna, Department of Orthopaedic Surgery, Vienna, Austria.
6ProfessorOxford University, Orthopaedic Oncology, Oxford University Hospitals, Oxford, UK.
7ProfessorPeople's Hospital, Musculoskeletal Tumor Center, Peking University, Beijing, China.
8Professor Massachusetts General Hospital, Center for Connective Tissue Oncology, Boston, Massachusetts, USA.
9ProfessorUniversity of Miami, Department of Orthopaedic Surgery, Miami, Florida, USA.
10ProfessorMoffitt Cancer Center, Sarcoma Program, Tampa, Florida, USA.

Tóm tắt

Previous classification systems of failure of limb salvage focused primarily on endoprosthetic failures and lacked sufficient depth for the effective study of the causes of failure. In order to address these inadequacies, the International Society of Limb Salvage (ISOLS) formed a committee to recommend revisions of the previous systems. The purpose of this study was to report on their recommendations. The modifications were prepared using an earlier, evidence-based model with subclassification based on the existing medical literature. Subclassification for all five primary types of failure of limb salvage following endoprosthetic reconstruction were formulated and a complementary system was derived for the failure of biological reconstruction. An additional classification of failure in paediatric patients was also described.Limb salvage surgery presents a complex array of potential mechanisms of failure, and a complete and precise classification of types of failure is required. Earlier classification systems lacked specificity, and the evidence-based system outlined here is designed to correct these weaknesses and to provide a means of reporting failures of limb salvage in order to allow the interpretation of outcome following reconstructive surgery.Cite this article: Bone Joint J 2014;96-B:1436–40.

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Tài liệu tham khảo

10.1097/00003086-199901000-00009

10.2106/JBJS.J.00834

10.2106/JBJS.C.01222

Chao EY, Inoue N, Frassica FJ, Sim FHSegmental Bone/Joint Replacement Using Guided Tissue Regeneration. In: Lewandrowski K-U, Wise DL, Yaszemski MJ, gresser JD, trantolo DJ, Altobelli DE, eds.Tissue Engineering And Biodegradable Equivalents, Scientific And Clinical Applications. New York: Marcel-Dekker, Inc, 2002:832.

10.2106/JBJS.I.01575

Jeys LM, 2003, Int Orthop (SICOT), 27, 160, 10.1007/s00264-003-0429-x

10.1007/BF00295957

10.1007/978-3-642-75879-9_40

10.1016/S0883-5403(99)90063-3

10.2106/00004623-199072100-00015

10.1002/jor.1100150521

Coventry MB, 1975, Orthop Clin North Am, 6, 991, 10.1016/S0030-5898(20)30961-5

10.2106/00004623-197759070-00001

10.1016/j.ocl.2005.08.008

10.1302/0301-620X.79B6.0790938

10.1302/0301-620X.93B5.26324

10.1016/j.cuor.2005.08.001

Gebhardt MC, 1991, Clin Orthop Relat Res, 270, 181, 10.1097/00003086-199109000-00025

10.1097/00003086-199603000-00011

10.1097/00003086-200101000-00014

10.2106/00004623-199072030-00004

10.1097/01.blo.0000150371.77314.52

10.2106/00004623-199908000-00009

10.1007/s11999-008-0531-x

10.1302/0301-620X.88B1.16253

10.1097/01.blo.0000127132.12576.05

Brien EW, 1994, Clin Orthop Relat Res, 303, 116, 10.1097/00003086-199406000-00014

Malinin T, 2013, Musculoskeletal Tissue Transplantation and Tissue Banking

10.1097/00003086-200104000-00027

10.1302/0301-620X.75B6.8245080

10.1007/s10147-004-0391-7

10.2106/00004623-199612000-00011

Mnaymneh W, 1994, Clin Orthop Relat Res, 303, 103, 10.1097/00003086-199406000-00013

10.1097/00003086-199807000-00021

Mnaymneh W, 1985, Clin Orthop Relat Res, 197, 76, 10.1097/00003086-198507000-00009

10.1007/s11999-009-1186-y

10.1007/BF00192473

10.2106/00004623-198870030-00008

Muscolo DL, 2005, J Bone Joint Surg [Am], 87, 2449

10.1302/0301-620X.94B6.28680

10.2106/00004623-199072010-00010

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Bone and Joint Journal

Tập 96-B Số 11

1436-1440

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