Orthopaedic Oncology Surgery: Surgical Management of Bone and Soft Tissue Tumor, Limb Salvage Techniques, and Reconstruction Options
1Hadi Raza, 2Ali Raza, 3Mobeen Ali, 4Dr kishore kumar khatri, 5Mohib Ali, 6Dr Muhammad Azeem Akhund
1PIMS
2UHS Lahore
3PIMS
4Assistant Professor Department of Orthopaedic Surgery and Traumatology PUMHS Nawabshah
5PIMS
6Associste Professor Department of Orthopaedic Surgery and Traumatology PUMHS Nawabshah
Vol 14-04
Submission: 10th January 2024, Acceptance: 8th June 2024, Publication: 9th October 2024
Abstract
Background: Orthopaedic oncology is surgery that deals with bone and soft tissue tumours which have a great implication on the musculoskeletal system and therefore quality of life. For these tumours, the traditional mode of management was amputation there are better functional results are achieved by limb salvage and reconstruction are the aims.
Aim: To determine compared limb salvage intervention against amputation in terms of surgical prognosis, functional rehabilitation and quality of life of patients after reconstructive intervention.
Methods: The study of the limb salvage and amputation of patients treated for orthopaedic oncology included a review of the cases. Surgical treatment strategies consisted of wide local excision, tumor resection and reconstruction with bone grafts, endoprosthesis implants and soft tissue coverage. The decision regarding the adjuvant therapies was also made.
Results: Surgical intervention with aim of limb salvage yielded 85% success rates as against 75% success of major amputations, while the functional results of the major limb injuries in terms of percentage of patients being satisfactorily functionally mobilized after treatment were 90% in limb salvage cases as compared with 70% in cases of amputations. Functional outcome and patient satisfaction were better in limb salvage patients although they had longer length of stay, longer time to full functional recovery and an insignificantly higher complication rate.
Conclusion: Surgical resection of the affected limb is an appropriate treatment modality in bone and soft tissue tumours that result in better functionality and quality of life in patients than an amputation. The study authors should direct their follow-up research on improvement of construction materials, enhancement of regional and individualized approaches to the therapy, assurance of the ultimate effectiveness of the therapy, and reduction of the possible adverse effects.
Keywords: Orthopaedic oncology, limb salvage surgery, bone tumors, soft tissue tumors, amputation, reconstruction, functional outcomes, patient quality of life.