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Limb Salvage for Malignant Bone Tumors in Young Children
Authors: Cara, J.A. (José Antonio)
Cañadell, J.M. (J. M.)
Keywords: Bone Neoplasms/surgery
Bone Transplantation
Femoral Neoplasms/surgery
Issue Date: 2000
Publisher: Lippincott, Williams & Wilkins
ISSN: 0271-6798
Citation: Cara JA, Cañadell JM. Limb Salvage for Malignant Bone Tumors in Young Children. J Pediatr Orthop. 1994 Jan-Feb;14(1):112-8.
Abstract
From March 1984 to April 1991, the Orthopaedics Department of the Clínica Universitaria de Navarra treated 47 cases of malignant bone tumors in young children by limb-salvage surgery. Mean follow-up time was 4.4 years. The histologic diagnoses were osteosarcoma (33 cases) and Ewing's sarcoma (14 cases). All patients were treated following the Cancer Protocol of the Clínica Universitaria de Navarra. We used allograft reconstruction in 26 patients, autograft reconstruction in seven, and nonbiologic material in seven other patients. Thirty-six of these patients are alive currently; 11 have died. The overall survival rate was 76.6%. Three patients suffered local recurrences, and seven developed metastatic disease. The most significant complications were infection in four cases, and osteosynthesis anchorage detachment in eight cases. We believe that with recent medical, surgical, and rehabilitative advances, limb-salvage surgery has surpassed amputation as the primary treatment for malignant bone tumors in young children
Permanent link: http://hdl.handle.net/10171/23782
Appears in Collections:DA - CUN - Cirugía ortopédica y traumatología - Artículos de revista

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