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Date Published: 03/11/2023
Online Published: 20/11/2023
Abstract Views: 40
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DOI: https://doi.org/10.58490/ctump.2023i68.2256
Issue
No. 68 (2023)
Section
Article
How to Cite
Bui, H. L., Tong, X. V., Le, V. T., & Le, C. D. (2023). RESULTS OF LIMB-SALVAGE SURGERY USE WIDE RESECTION SURGERY AND VASCULARIZED FIBULAR GRAFTS. Cantho Journal of Medicine and Pharmacy, 68, 116-123. https://doi.org/10.58490/ctump.2023i68.2256

RESULTS OF LIMB-SALVAGE SURGERY USE WIDE RESECTION SURGERY AND VASCULARIZED FIBULAR GRAFTS

Hoang Lac Bui1,, Xuan Vu Tong1, Van Tho Le1, Chi Dung Le1
1 Hospital for Traumatology and Orthopaedics

Main Article Content

Abstract

Background: Limb-salvage treatment for malignant and borderline bone tumors are still difficult and challenging. There are a lot of methods of treatment but results are still limited. We use wide resection surgery and vascularized fibular grafts for limb-salvage treatment for our patients. Objective: Evaluation orthopedic and oncology results of  limb-salvage surgery use wide resection surgery and vascularized fibular grafts. Materals and methods: 45 cases of malignant and borderline bone tumor at humerus, radial, tibia were treated  by operation at Bone and Joint Pathology Department in Hopital for Trauma and Orthopaedic at Ho Chi Minh City from 2005 to 2020. Methods: Prospective study, evaluation of bone healing according to Hsu, graft hypertrophy according to De Boer and Wood, function was documented according to the MSTS. Evaluate the local recurrence rate, malignant transformation,distant metastasis and death, Overall survival time, Disease Free Survival time. Results: 1. Orthopedic results: 100% bone healing, average bone healing time 5.20 ± 0.68 months. Bone graft hypertrophy 43.9%. The mean limb function according to MSTS was 81% ± 8.65%. 2. Oncology results: Local recurrence in cases (4.4%), do not malignant transformation, rate of metastasis and death in 8 cases (17.8%) . The mean  overall survival time was 155.3 ± 10.1months.The mean  disease free survival time 150.2 ± 10.1 months. The overall survival rate and the 5-year disease free survival rate were 79.1%. Conclusions: The limb-salvage surgery of malignant and borderline bone tumor use wide resection surgery and vascularized fibular grafts gives good Orthopedic and Oncology results.

Article Details

Keywords

Vascularized fibular graft, limb-salvage surgery, bone graft hypertrophy

References

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