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Indications of amputation after limb-salvage surgery of patients with extremity-located bone and soft-tissue sarcomas: A retrospective clinical study

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dc.contributor.authorEROL, BÜLENT
dc.contributor.authorsBaysal, Ozgur; Saglam, Fevzi; Sofulu, Omer; Yigit, Okan; Sirin, Evrim; Erol, Bulent
dc.date.accessioned2022-03-14T09:52:02Z
dc.date.available2022-03-14T09:52:02Z
dc.date.issued2021-04-07
dc.description.abstractObjective: This study aimed to investigate amputation-related factors after limb-salvage surgery (LSS) in patients with extremity-located bone and soft-tissue sarcomas and determine the relationship between these factors and patient survival. Methods: In this retrospective study at our institution, patients in whom LSS was first performed because of an extremity-located musculoskeletal sarcoma, and subsequently amputation was carried out for various indications were included. Patient and tumor characteristics, details of surgical procedures, indications of amputation, number of operations, presence of metastasis before amputation, and post-amputation patient survival rates were analyzed. Results: A total of 25 patients (10 men, 15 women; mean age=41.96 +/- 21.88 years), in whom amputation was performed after LSS as initial resection of an extremity sarcoma or re-resection(s) of a local recurrence, were included in the study. The leading oncological indication for amputation was local recurrence that occurred in 18 (72%) patients. Non-oncological indications included prosthetic infection in 5 (20%), mechanical failure in 1 (4%), and skin necrosis in 1 (4%) patient. The patients underwent a median of 2 (range, 1-4) limb-salvage procedures before amputation. Distant organ metastasis was detected in 22 (88%) patients during follow-up; in 13 (52%) of these patients, metastasis was present before amputation. A total of 11 (44%) patients were alive at the time of study with no evidence of the disease (n=3) or with disease (n=8), and 14 (56%) patients died of disease. The mean overall and post-amputation survival were 47 +/- 20.519 (range, 11-204) months and 22 +/- 4.303 (range, 2-78) months, respectively. The median follow-up was 27 (range, 6-125) months. Conclusion: The most common causes of amputation after LSS were local recurrence and prosthetic infection. Patients who underwent amputation after LSS developed a high rate of distant organ metastasis during follow-up and had reduced survival.
dc.identifier.doi10.5152/j.aott.2021.20115
dc.identifier.issn1017-995X
dc.identifier.pubmed33847578
dc.identifier.urihttps://hdl.handle.net/11424/243417
dc.identifier.wosWOS:000637404800013
dc.language.isoeng
dc.publisherTURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY
dc.relation.ispartofACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectExtremity
dc.subjectSarcoma
dc.subjectAmputation
dc.subjectLimb salvage surgery
dc.subjectLocal recurrence
dc.subjectSURGICAL-MANAGEMENT
dc.subjectRISK
dc.titleIndications of amputation after limb-salvage surgery of patients with extremity-located bone and soft-tissue sarcomas: A retrospective clinical study
dc.typearticle
dspace.entity.typePublication
local.avesis.id5eac5dcf-fa45-4484-8822-5e8e04fa3761
local.import.packageSS16
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.indexed.atTRDIZIN
local.journal.numberofpages5
oaire.citation.endPage158
oaire.citation.issue2
oaire.citation.startPage154
oaire.citation.titleACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
oaire.citation.volume55
relation.isAuthorOfPublicatione87cb1cd-69ae-4a92-893b-901e999c9240
relation.isAuthorOfPublication.latestForDiscoverye87cb1cd-69ae-4a92-893b-901e999c9240

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