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Classification of failure of limb salvage after reconstructive surgery for bone tumours : a modified system Including biological and expandable reconstructions.
Henderson, E R; O'Connor, M I; Ruggieri, P; Windhager, R; Funovics, P T; Gibbons, C L; Guo, W; Hornicek, F J; Temple, H T; Letson, G D.
Afiliación
  • Henderson ER; Norris Cotton Cancer Center, Musculoskeletal Oncology Program, One Medical Center Drive, Lebanon, PA, 03756, USA.
  • O'Connor MI; Mayo Clinic, Department of Orthopaedic Surgery, Jacksonville, Florida, USA.
  • Ruggieri P; Instituto Ortopedico Rizzoli, Orthopaedic Oncology Division, Bologna, Italy.
  • Windhager R; University of Vienna, Department of Orthopaedic Surgery, Vienna, Austria.
  • Funovics PT; University of Vienna, Department of Orthopaedic Surgery, Vienna, Austria.
  • Gibbons CL; Oxford University, Orthopaedic Oncology, Oxford University Hospitals, Oxford, UK.
  • Guo W; People's Hospital, Musculoskeletal Tumor Center, Peking University, Beijing, China.
  • Hornicek FJ; Massachusetts General Hospital, Center for Connective Tissue Oncology, Boston, Massachusetts, USA.
  • Temple HT; University of Miami, Department of Orthopaedic Surgery, Miami, Florida, USA.
  • Letson GD; Moffitt Cancer Center, Sarcoma Program, Tampa, Florida, USA.
Bone Joint J ; 96-B(11): 1436-40, 2014 Nov.
Article en En | MEDLINE | ID: mdl-25371453
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Prótesis e Implantes / Neoplasias Óseas / Procedimientos de Cirugía Plástica / Recuperación del Miembro Límite: Humans Idioma: En Revista: Bone Joint J Año: 2014 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Prótesis e Implantes / Neoplasias Óseas / Procedimientos de Cirugía Plástica / Recuperación del Miembro Límite: Humans Idioma: En Revista: Bone Joint J Año: 2014 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido