Causes and Frequencies of Reoperations After Endoprosthetic Reconstructions for Extremity Tumor Surgery: A Systematic Review

Clinical Orthopaedics and Related Research
Patrick ThornleyRoberto Velez

Abstract

Excision of bone tumors and endoprosthetic reconstruction allow patients early weightbearing and a potential functional advantage compared with amputation. These reconstructions do not restore the limb to normal status, however, and patients are subject to complications that may result in revision or loss of the limb. Because better understanding of these complications based on current information might help the patient and surgeon in decision-making, we undertook a systematic review of studies published on this topic. (1) What are the primary modes and proportion of failure of tumor endoprostheses in patients undergoing reconstruction after excision of primary extremity bone sarcomas? We systematically searched MEDLINE, Embase, and the Cochrane Library for all studies published from April 15, 1998, to April 15, 2018. Three reviewers independently reviewed studies reporting endoprosthetic reconstruction survival and events requiring revision for primary extremity bone tumors treated with endoprosthetic reconstruction for inclusion and performed independent data extraction. We excluded all studies with fewer than five patients, any systematic review/meta-analyses, and any study not reporting on primary extremity bone tumors. All...Continue Reading

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Citations

Oct 1, 2019·The Journal of Bone and Joint Surgery. American Volume·Jing LiZhen Wang
Nov 26, 2019·The Journal of Bone and Joint Surgery. American Volume·Jing LiZhen Wang
May 15, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Nicholas NucciDavid Wilson
Oct 16, 2021·Journal of Orthopaedic Surgery and Research·Christina BergerDavid Wennergren

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