Segmental limb reconstruction after tumor resection.

H. Thomas Temple, T. R. Kuklo, R. A. Lehman, R. D. Heekin, B. H. Berrey

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Limb salvage of large segmental and osteoarticular defects after tumor resection has become the standard of care for most patients with musculoskeletal tumors because overall survival is the same when compared with that seen in amputation patients. This study examines limb salvage for the surgical management of large segmental defects in terms of local recurrence, complications, and functional outcome in both primary and metastatic lesions. We retrospectively identified 32 patients with benign or malignant tumors of bone who underwent resection and limb salvage reconstruction by means of a custom or modular metal implant between 1985 and 1995. The most common tumor sites were the proximal femur (41%), distal femur (37.5%), and proximal humerus (12.5%). Primary bone lesions accounted for 18 patients (56%); metastatic disease accounted for 14 patients (44%). Osteosarcoma (n = 11) and chondrosarcoma (n = 3) were the most frequent primary tumors. The overall limb salvage rate (91%) was high, yet complications (28%) were common. Except for 3 patients who underwent amputation after prosthetic failure, all surviving patients were independent with or without assistive devices at latest follow-up. In patients with advanced metastatic disease, average survival was 7.6 months. No cases of aseptic loosening or implant breakage were observed in patients followed up for 2 years or more. Treatment after tumor resection with a limb salvage prosthetic reconstruction has shown good functional outcomes with an acceptable complication rate. This modality, therefore, offers patients a more favorable functional outcome with a more energy-efficient gait when compared with limb amputation.

Original languageEnglish
Pages (from-to)524-529
Number of pages6
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume29
Issue number7
StatePublished - Jul 1 2000
Externally publishedYes

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Extremities
Limb Salvage
Neoplasms
Amputation
Femur
Self-Help Devices
Bone and Bones
Chondrosarcoma
Survival
Humerus
Osteosarcoma
Standard of Care
Gait
Metals
Recurrence

ASJC Scopus subject areas

  • Surgery

Cite this

Thomas Temple, H., Kuklo, T. R., Lehman, R. A., Heekin, R. D., & Berrey, B. H. (2000). Segmental limb reconstruction after tumor resection. American journal of orthopedics (Belle Mead, N.J.), 29(7), 524-529.

Segmental limb reconstruction after tumor resection. / Thomas Temple, H.; Kuklo, T. R.; Lehman, R. A.; Heekin, R. D.; Berrey, B. H.

In: American journal of orthopedics (Belle Mead, N.J.), Vol. 29, No. 7, 01.07.2000, p. 524-529.

Research output: Contribution to journalArticle

Thomas Temple, H, Kuklo, TR, Lehman, RA, Heekin, RD & Berrey, BH 2000, 'Segmental limb reconstruction after tumor resection.', American journal of orthopedics (Belle Mead, N.J.), vol. 29, no. 7, pp. 524-529.
Thomas Temple H, Kuklo TR, Lehman RA, Heekin RD, Berrey BH. Segmental limb reconstruction after tumor resection. American journal of orthopedics (Belle Mead, N.J.). 2000 Jul 1;29(7):524-529.
Thomas Temple, H. ; Kuklo, T. R. ; Lehman, R. A. ; Heekin, R. D. ; Berrey, B. H. / Segmental limb reconstruction after tumor resection. In: American journal of orthopedics (Belle Mead, N.J.). 2000 ; Vol. 29, No. 7. pp. 524-529.
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