Complications associated with limb salvage for extremity sarcomas and their management.

Abstract:

:A retrospective clinical review of 100 consecutive patients with extremity sarcomas managed by limb salvage operations was performed to evaluate local tumor control and morbidity. The mean follow-up period was 45.1 months. Overall survival was 86%. There were local recurrences in 3% of patients, and 26 complications in 22 patients. Wound necrosis was the most frequent complication. Failure of allogeneic bone graft operations occurred in 25 patients. Most of the complications were salvageable without loss of limb. Limb salvage is an acceptable surgical treatment of extremity sarcomas based on adequate local control and minimal morbidity.

journal_name

Clin Orthop Relat Res

authors

Quill G,Gitelis S,Morton T,Piasecki P

subject

Has Abstract

pub_date

1990-11-01 00:00:00

pages

242-50

issue

260

eissn

0009-921X

issn

1528-1132

pub_type

杂志文章
  • Orthopaedic surgeons. Inheritors of tradition.

    abstract::Bonesetting, a most ancient healing art, was absorbed into orthopaedic surgery approximately 120 years ago when Hugh Owen Thomas, a medical doctor specializing in pediatric deformities, assumed his father's nonmedical bonesetting practice. In many nonWestern nations, however, traditional bonesetters continue to treat ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 历史文章,杂志文章

    doi:

    authors: Green SA

    更新日期:1999-06-01 00:00:00

  • Total hip arthroplasty for avascular necrosis of the femur in systemic lupus erythematosus.

    abstract::Six patients with systemic lupus erythematosus and avascular necrosis of the femoral head were treated by total hip arthroplasty (THA). The primary indication for surgery was persistent hip pain despite conservative therapy. Postoperatively, pain was relieved with corresponding improvement in range of motion in all si...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Prupas HM,Patzakis M,Quismorio FP Jr

    更新日期:1981-11-01 00:00:00

  • The effect of growth hormone on established cartilage lesions. A presidential address to the Association of Bone and Joint Surgeons, 1974.

    abstract::The major problem in osteoarthritis research today is our inability to promote effective cartilage regeneration in the presence of adult chondromalacia. Yet such regeneration is consistently present in acromegalics. The present study of experimentally damaged rabbit knee cartilage measures numbers of cells, mitoses, t...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Chrisman OD

    更新日期:1975-01-01 00:00:00

  • The knee in arthrogryposis.

    abstract::Of 104 patients with arthrogryposis multiplex congenita treated between 1952 and 1982, 74 had significant knee contractures, instability, or recurvatum. The minimum follow-up period was two years. Nonoperative treatment modalities included physical therapy, bracing, and serial casting in 43 patients (78 knees). Thirty...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Thomas B,Schopler S,Wood W,Oppenheim WL

    更新日期:1985-04-01 00:00:00

  • Does HIV infection increase the risk of perioperative complications after THA? A nationwide database study.

    abstract:BACKGROUND:Recent studies have shown successful midterm outcomes after total hip arthroplasty (THA) in patients with human immunodeficiency virus (HIV). However, little data exist on the epidemiology, risk of perioperative complications, and length of stay in patients with HIV receiving THA. QUESTIONS/PURPOSES:The pur...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-014-3855-8

    authors: Naziri Q,Boylan MR,Issa K,Jones LC,Khanuja HS,Mont MA

    更新日期:2015-02-01 00:00:00

  • The pathogenesis and long-term end results of pigmented villonodular synovitis.

    abstract::Pigmented villonodular synovitis, bursitis and tenosynovitis may present a variable picture depended upon the site and whether they are localized or diffuse. In the localized form of the disease occurring in association with tendon sheaths, complete surgical excision should result in a cure. Local recurrences probably...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Granowitz SP,D'Antonio J,Mankin HL

    更新日期:1976-01-01 00:00:00

  • Selection, evaluation and indications for electrical stimulation of ununited fractures.

    abstract::Management of nonunions requires careful and critical assessment of the true biologic status of the fracture. The mere radiographic persistence of a fracture line does not invariably indicate nonunion. Ten percent of fractures considered initially to be ununited in this series healed spontaneously without further trea...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Connolly JF

    更新日期:1981-11-01 00:00:00

  • Use of the Hoffmann external fixator in the treatment of femoral fractures.

    abstract::The Hoffmann external fixator has proved to be an effective means of stabilizing complex femoral fractures in patients in whom prolonged traction or internal fixation is not advisable. It provides for the prompt mobilization of multiple-trauma victims and assists in the evaluation of the "floating knee." Pin tract inf...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Coppola AJ Jr,Anzel SH

    更新日期:1983-11-01 00:00:00

  • Early migration of uncemented porous coated anatomic femoral component related to aseptic loosening.

    abstract::Primary total hip arthroplasties were performed in 108 patients (116 hips) using a porous coated anatomic (PCA) hip system. Nineteen (22 hips) of 108 patients (116 hips) who had a subsidence of a PCA femoral stem more than 3 mm were studied for the time onset, the amount of stem subsidence, and outcomes. A minimum fol...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Kim YH,Kim VE

    更新日期:1993-10-01 00:00:00

  • Intraoperative femur fractures during total hip replacement.

    abstract::Eleven intraoperative femur fractures occurred during 605 total hip replacements at Rancho Los Amigos Hospital, an incidence of 1.8%. Fractures occur more often in women, are usually located in the proximal femur, and mostly occur during femoral reaming. The main predisposing factors were osteoporosis and previous hip...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Taylor MM,Meyers MH,Harvey JP Jr

    更新日期:1978-11-01 00:00:00

  • Monopolar thermal treatment of symptomatic anterior cruciate ligament instability.

    abstract::Patients with anterior cruciate ligament instability resulting from incomplete tears or elongation in continuity without ligament detachment historically have been treated conservatively or by graft replacement. The literature is sparse regarding alternative treatments. The current study presents experience using mono...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200302000-00021

    authors: Indelli PF,Dillingham MF,Fanton GS,Schurman DJ

    更新日期:2003-02-01 00:00:00

  • The anterior cruciate ligament: a technique of repair and reconstruction.

    abstract::Both primary repair and late substitution of anterior cruciate ligaments can be accomplished by intra-articular methods. This principle is to provide temporary struts that are initially avascular but can later undergo revascularization and metaplasia to form a new ligament. The graft does afford initial support, howev...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Marshall JL,Warren RF,Wickiewicz TL,Reider B

    更新日期:1979-09-01 00:00:00

  • Wear, debris, and biologic activity of cross-linked polyethylene in the knee: benefits and potential concerns.

    abstract::Cross-linked polyethylene currently is being introduced in knee prostheses. The wear rates, wear debris, and biologic reactivity of non cross-linked, moderately cross-linked, and highly cross-linked polyethylene have been compared in multidirectional wear tests and knee simulators. Multidirectional pin-on-plate wear s...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000148783.20469.4c

    authors: Fisher J,McEwen HM,Tipper JL,Galvin AL,Ingram J,Kamali A,Stone MH,Ingham E

    更新日期:2004-11-01 00:00:00

  • Use of grommets for flexible implant resection arthroplasty of the metacarpophalangeal joint.

    abstract::In 1987, after 11 years of research, press fit titanium circumferential grommets were introduced for arthroplasty of the metacarpophalangeal joint to protect the flexible hinge implant midsection from sharp bony edges and shearing forces that can initiate implant abrasions and tears leading to implant fracture and for...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Swanson AB,de Groot Swanson G,Ishikawa H

    更新日期:1997-09-01 00:00:00

  • Enhancing osteochondral allograft viability: effects of storage media composition.

    abstract::Osteochondral allograft transplantation is a well-accepted treatment for articular cartilage damage. However, chondrocyte viability declines during graft storage, which may compromise graft performance. We first tested the hypothesis that the composition of commonly used storage media affects the viability of articula...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-008-0302-8

    authors: Teng MS,Yuen AS,Kim HT

    更新日期:2008-08-01 00:00:00

  • Transmetatarsal and midfoot amputations.

    abstract::The objective of lower extremity amputation surgery is to create a viable, functional residual limb to maximize patient mobility and independence. When part or all of the forefoot is lost to trauma, infection or gangrene, and the hindfoot is viable, every attempt should be made to preserve as much foot function as pos...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199904000-00012

    authors: Early JS

    更新日期:1999-04-01 00:00:00

  • Lateral unicompartmental knee arthroplasty through a lateral parapatellar approach has high early survivorship.

    abstract:BACKGROUND:The literature suggests lateral unicompartmental knee arthroplasties are associated with low revision rates. However, there are fewer reports describing techniques for lateral unicompartmental arthroplasty and whether technique influences ROM and function compared to reports for medial unicompartmental arthr...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-011-2005-9

    authors: Berend KR,Kolczun MC 2nd,George JW Jr,Lombardi AV Jr

    更新日期:2012-01-01 00:00:00

  • Locked plating of proximal humeral fractures: is function affected by age, time, and fracture patterns?

    abstract:BACKGROUND:Locking plate fixation of proximal humeral fractures improves biomechanical stability. It has expanded the indications of traditional open reduction internal fixation and become increasingly common for treating unstable, displaced proximal humeral fractures. Despite improved stability it is unclear whether t...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-011-1935-6

    authors: Jones CB,Sietsema DL,Williams DK

    更新日期:2011-12-01 00:00:00

  • Giant cell synovitis associated with failed polyethylene patellar replacements.

    abstract::Destroyed patellar articular surfaces were replaced with a high molecular weight polyethylene prosthesis in two patients. The patellofemoral articulation of the femur consisted of eburnated bone in one case and degenerative cartilage in the other. Both operations failed within one year because of a giant cell synoviti...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Ewald FC,Sledge CB,Corson JM,Rose RM,Radin EL

    更新日期:1976-03-01 00:00:00

  • Revision surgery following a failed total elbow arthroplasty.

    abstract::The need for revision surgery following total elbow arthroplasty can be minimized if certain principles are observed. These include careful preoperative assessment for diaphyseal bone size, the presence of anatomic resources for arthroplasty, the possible need for future adjacent joint arthroplasties, meticulous surgi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Inglis AE

    更新日期:1982-10-01 00:00:00

  • Sixteen-years' experience with ceramic hip prostheses.

    abstract::The introduction of alumina ceramic combined with the self-locking principle by surface increase has many followers. There is no manufacturing company in the world that does not produce self-locking hip prostheses with ceramic components. Despite increased interim results with conventional prostheses by improved cemen...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Mittelmeier H,Heisel J

    更新日期:1992-09-01 00:00:00

  • Medial external fixation with lateral plate internal fixation in metaphyseal tibia fractures. A report of eight cases associated with severe soft-tissue injury.

    abstract::Eight patients with unstable fractures involving the articular surface and metaphyseal-diaphyseal bone of the proximal or distal tibia associated with severe soft-tissue injury or compounding wound were treated with irrigation, debridement, tetanus inoculation, antibiotic prophylaxis, and combined internal fixation wi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Ries MD,Meinhard BP

    更新日期:1990-07-01 00:00:00

  • General principles in the prevention of surgical complications in orthopedic surgery.

    abstract::Preventive measures in orthopedic surgery are best accomplished by full knowledge of potential complications, thoughtful preoperative planning, the careful and precise execution of the operative procedure, meticulous hemostasis, and the implementation of appropriate measures in the postoperative period. ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Epps CH Jr

    更新日期:1987-09-01 00:00:00

  • Rehabilitation following total shoulder arthroplasty.

    abstract::Successful outcome of total shoulder arthroplasty depends on a well-designed and a well-executed physical therapy program. For maximal benefit, the program is usually initiated immediately after surgery and follows a logical pattern of joint mobilization followed by muscle strengthening. The process proceeds through a...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Brems JJ

    更新日期:1994-10-01 00:00:00

  • A new system to produce intraoperatively custom femoral prosthesis from measurements taken during the surgical procedure.

    abstract::A system has been developed that allows the surgeon to match a prosthesis to any femoral cavity. The surgeon may choose how and where it will preferentially fit. The surgeon does not have to create a cavity to suit a premade prosthesis. The system is based on a novel technique for making a mold of the prepared femoral...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Mulier JC,Mulier M,Brady LP,Steenhoudt H,Cauwe Y,Goossens M,Elloy M

    更新日期:1989-12-01 00:00:00

  • Acetabular orientation: anterolateral approach in the supine position.

    abstract:UNLABELLED:The anterolateral approach in the supine position provides excellent visualization of the acetabulum. The main advantage of the approach, a low dislocation rate, has been demonstrated in the literature, while the purported disadvantage of abductor dysfunction has not been clearly delineated in the literature...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1007/s11999-008-0523-x

    authors: Austin MS,Rothman RH

    更新日期:2009-01-01 00:00:00

  • Expandable endoprosthetic reconstruction of the skeletally immature after malignant bone tumor resection.

    abstract::The mainstay of local control of primary bone malignancies in the skeletally immature has been amputation or, in selected cases, rotationplasty. The development of expandable endoprostheses has permitted an alternative approach for local control in the growing child. Between January 1985 and December 1987, 12 skeletal...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Eckardt JJ,Safran MR,Eilber FR,Rosen G,Kabo JM

    更新日期:1993-12-01 00:00:00

  • Prevalence and treatment of intraarticular pathology recognized at the time of periacetabular osteotomy for the dysplastic hip.

    abstract:BACKGROUND:The indication for hip arthrotomy accompanied by intraarticular work during periacetabular osteotomy (PAO) has not been precisely defined. To validate a role for routine hip arthrotomy accompanied by intraarticular work, frequent intraarticular pathology must exist, and the adjunct procedures must not be ass...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2602-2

    authors: Ginnetti JG,Pelt CE,Erickson JA,Van Dine C,Peters CL

    更新日期:2013-02-01 00:00:00

  • Predictors of survival in patients with bone metastasis of lung cancer.

    abstract::The prognosis of patients with bone metastasis from lung cancer has not been well documented. We assessed the survival rates after bone metastasis and prognostic factors in 118 patients with bone metastases from lung cancer. The cumulative survival rates after bone metastasis from lung cancer were 59.9% at 6 months, 3...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-007-0051-0

    authors: Sugiura H,Yamada K,Sugiura T,Hida T,Mitsudomi T

    更新日期:2008-03-01 00:00:00

  • Metal on metal bearings in hip arthroplasty.

    abstract::Periprosthetic osteolysis caused by wear debris released from the bearing surface of polyethylene components is the major problem in contemporary hip arthroplasty. Several types of metal on metal prostheses were developed in the 1960s, but by the mid 1970s they were completely displaced by polyethylene bearings. There...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/00003086-199608001-00003

    authors: Amstutz HC,Grigoris P

    更新日期:1996-08-01 00:00:00