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Limb saving surgery in bone tumours: experiences in Hungary

M Szendrói¹, T Vizkelety, I Antal

¹Department of Orthopaedics, Semmelweis University Medical School, Budapest, Hungary.

Acta Chirurgica Hungarica

|January 1, 1994

Summary

Limb salvage surgery is effective for selected early-stage bone tumors. This review of 75 patients shows good survival rates, especially for low-grade tumors, with manageable complications from prostheses or grafts.

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Area of Science:

Orthopaedic Surgery
Oncology
Musculoskeletal Tumors

Background:

Bone tumors require effective treatment strategies to improve patient outcomes.
Limb salvage surgery (LSS) offers an alternative to amputation for bone tumor management.
Assessing the efficacy and complications of LSS is crucial for clinical decision-making.

Purpose of the Study:

To evaluate the outcomes of limb salvage operations for low- and high-grade bone tumors.
To analyze survival rates, local recurrence, and complications associated with LSS.
To determine the suitability of LSS in conjunction with chemotherapy for bone cancer treatment.

Main Methods:

Retrospective clinical review of 75 patients with bone tumors (28 low-grade, 47 high-grade).

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Patients underwent limb salvage surgery with a mean follow-up of 37.2 months.

Data collected on tumor stage, treatment, survival, recurrence, and complications.

Main Results:

Overall 3-year survival rates: 97% (low-grade), 84% (osteosarcomas), 50% (Ewing's sarcomas).
Local recurrence rate was 14%.
Complications: 2/25 (8%) with tumor prostheses, 13/50 (26%) with autografts/allografts.

Conclusions:

Limb salvage surgery is an acceptable treatment for selected early-stage bone tumors.
Successful outcomes depend on early diagnosis and response to chemotherapy.
Careful patient selection and management of reconstructive methods are essential.