Epiphysis Salvage Reconstruction and Associated Complications Following Tumor Resections in Skeletally Immature Patients.

Autor: Kapukaya R; Department of Plastic, Reconstructive and Aesthetic Surgery, University of Health Science Adana City Training and Research Hospital, Adana, Turkey., Karaali E; Department of Orthopedics and Traumatology, University of Health Science Adana City Training and Research Hospital, Mithat Özhan Bulvarı Kışla Mah. No:1 Yüreğir, Adana, Turkey., Çiloğlu O; Department of Orthopedics and Traumatology, University of Health Science Adana City Training and Research Hospital, Mithat Özhan Bulvarı Kışla Mah. No:1 Yüreğir, Adana, Turkey., Oğur HU; Department of Orthopedics and Traumatology, University of Health Science Adana City Training and Research Hospital, Mithat Özhan Bulvarı Kışla Mah. No:1 Yüreğir, Adana, Turkey., Baydar M; Department of Orthopedics and Traumatology, İstanbul Baltalimanı Bone Disease Training and Research Hospital, Istanbul, Turkey., Öztürk K; Department of Orthopedics and Traumatology, İstanbul Baltalimanı Bone Disease Training and Research Hospital, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: Indian journal of surgical oncology [Indian J Surg Oncol] 2021 Mar; Vol. 12 (1), pp. 164-171. Date of Electronic Publication: 2021 Jan 04.
DOI: 10.1007/s13193-020-01275-4
Abstrakt: The purpose of this study was to discuss the epiphysis salvage reconstruction procedure outcomes and complications in skeletally immature patients. The study included 12 patients with pediatric malignant tumors (osteosarcoma, Ewing's sarcoma) located close to the epiphysis, who underwent epiphyseal-preservation surgery with vascularized fibula in the plastic surgery and orthopedics and traumatology clinic between January 2008 and November 2018. The study was designed retrospectively. Neoadjuvant and adjuvant chemotherapy was administered to all patients. None of the patients received radiotherapy. Functional evaluation was assessed using the Musculoskeletal Tumor Society (MSTS) scoring system. The patients were followed up for a mean period of 51 (21‑115) months. The mean age of patients was 10.4 (range, 5 to 15) years. Union times in the target region (epiphyseal region) and diaphyseal region were reported separately. Accordingly, the mean total union time in the target region of all patients was 7.9 months (5‑11), and the mean total union time in the diaphyseal region was 6.5 months (5‑9). According to the MSTS grading system, the mean score of the patients was 27.50 (range, 21‑30). The mean operative time was 480 (390‑540) min, the mean intraoperative blood loss was 790 (580‑1100) cc, and the mean length of hospital stay was 6 (4‑17) days. Six patients had shortness, 5 patients had delayed union, 3 patients had angular deformity, and 2 patients had infection. Epiphyseal-preservation surgery may be an alternative to other techniques used for malignant tumors located close to the growth line in skeletally immature patients. Despite the fact that this technique has plenty of complications, many of them can be successfully treated with secondary operations without leaving sequelae.
Competing Interests: Conflict of InterestThe authors declare that they have no conflict of interest.
(© Indian Association of Surgical Oncology 2021.)
Databáze: MEDLINE
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