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http://hdl.handle.net/1843/53659| Type: | Artigo de Periódico |
| Title: | Amputation risk after the revascularization procedures in sarcoma resections |
| Other Titles: | Risco de amputação após procedimento de revascularização nas ressecções de sarcoma |
| Authors: | Luiz Eduardo Moreira Teixeira Thiago Marques Leão Daniel Barbosa Regazzi Claudio Beling Gonçalves Soares |
| Abstract: | Objective: The objective of this study is to evaluate the efficacy of vascular reconstructive surgery after resection of bone and soft tissue tumors in extremities and the risk of progres sion to amputation. Methods: This is a retrospective, observational data collection from medical records of patients who underwent resection of bone and soft tissue tumors in the period of 2002–2015. Thirteen patients met the inclusion criteria, which evaluated the correlations between cer tain factors (gender, tumor type, location, reconstruction, revascularization and patency, infection) with amputation in the postoperative period. Results: In this study, of the 13 patients undergoing reconstruction, five (38.46%) evolved to amputation. All patients who progressed to amputation had the following in common: presence of bone sarcoma (p = 0.005), having undergone reconstruction with an orthopedic prosthesis (p = 0.005), lack of vascular patency in the revascularization site in the postopera tive period (p = 0.032), and surgical site infection (p = 0.001). None of the patients with soft tissue sarcoma underwent amputation, and the only patient with bone sarcoma who did not undergo amputation had no infection and maintained vascular patency of the graft. Conclusion: The occurrence of infection appears to be one of the main risk factors for failure of revascularization, especially in cases of bone sarcoma in which vascular reconstruction is performed with placement of a non-conventional joint prosthesis. |
| Subject: | Sarcoma Salvamento de Membro Procedimentos de Cirurgia Plástica Osteossarcoma Amputação Cirúrgica |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | MED - DEPARTAMENTO DE APARELHO LOCOMOTOR |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | 10.1016/j.rboe.2017.10.005 |
| URI: | http://hdl.handle.net/1843/53659 |
| Issue Date: | 21-Oct-2017 |
| metadata.dc.url.externa: | https://www.sciencedirect.com/science/article/pii/S2255497117301611?via%3Dihub |
| metadata.dc.relation.ispartof: | Revista Brasileira de Ortopedia (English Edition) |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Amputation risk after the revascularization procedures in sarcoma resections pdfa.pdf | 542.9 kB | Adobe PDF | View/Open |
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