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Surgery for MSK tumors: 1971-2011.
1Massachusetts General Hospital, Boston, MA, USA. dspringfield@partners.org
Skeletal Radiology
|August 10, 2011
Summary
Limb salvage surgery for musculoskeletal tumors has significantly increased since 1971, making amputations rare for both malignant and benign conditions. Advances in multiple medical fields enabled this shift.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Oncology
Background:
- Surgical management of musculoskeletal tumors has evolved significantly since 1971.
- Historically, amputation was common for malignant tumors, with less than 25% of patients undergoing limb salvage surgery.
Purpose of the Study:
- To describe the dramatic changes in surgical management of musculoskeletal tumors since 1971.
- To highlight the decreased reliance on amputation for both malignant and benign tumors.
Main Methods:
- Retrospective analysis of surgical management trends for musculoskeletal tumors.
- Review of historical data comparing limb salvage rates versus amputation from 1971 to the present.
Main Results:
- Amputation rates for malignant musculoskeletal tumors have drastically decreased.
- Amputations are now rarely performed for benign tumors, a practice that was more common historically.
Conclusions:
- Significant advancements in anesthesiology, surgery, radiology, medical oncology, and radiation oncology have enabled limb-sparing procedures.
- Modern surgical approaches have revolutionized musculoskeletal tumor treatment, prioritizing limb preservation over amputation.
