PMID: 9428070Jan 15, 1998Paper

MR imaging based strategies in limb salvage surgery for osteosarcoma of the distal femur

Skeletal Radiology
M F van TrommelA H Taminiau

Abstract

To analyse to what extent MR imaging based decisions were correct in determining the surgical procedure in patients with osteosarcoma of the distal femur. We compared the findings on MR imaging that determined the surgical strategy with the actual surgical findings or histopathological specimen. We assessed to what extent MR images could be used to determine the surgical procedure in patients with osteosarcoma. Between 1985 and 1992, 34 patients with an osteosarcoma were treated. Two patients had a low-grade osteosarcoma. Thirty-two patients with a high-grade osteosarcoma of the distal femur (17 stage IIB, 15 stage III) were included in this study. Surgical options consisted of either limb salvage surgery or ablative surgery, which included the Van Nes-Borggreve rotationplasty. Limb salvage surgery consisted of extra-articular or transarticular resection, followed by reconstruction. Surgery was planned depending on the local extent of the tumour as depicted on the MR studies, coupled with data from the biopsy, age, patient compliance and histological grade. Follow-up was available in all patients. Nine of 17 patients graded as IIB were alive with an average follow-up of 68 months (range 46-109 months), of whom one has metastase...Continue Reading

Citations

Aug 19, 1999·Critical Reviews in Oncology/hematology·W C Peh
Jan 22, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Tjeerd ZwagaHerman M Kroon
Jan 20, 2007·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Patrick T LiuChristopher P Beauchamp
Nov 6, 2007·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jon R Goldsmith, Thomas H Lee
Aug 25, 2005·Journal of Surgical Oncology·Gerald M Y QuanPeter F M Choong
Jun 11, 2020·Skeletal Radiology·Mark X ClearyShivani Ahlawat
May 8, 2001·Cancer Investigation·W S Ferguson, A M Goorin
May 1, 2021·Journal of Clinical Medicine·Stefan K ZöllnerUta Dirksen

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