Amputation risk after the revascularization procedures in sarcoma resections

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dc.creatorLuiz Eduardo Moreira Teixeira
dc.creatorThiago Marques Leão
dc.creatorDaniel Barbosa Regazzi
dc.creatorClaudio Beling Gonçalves Soares
dc.date.accessioned2023-05-19T19:12:38Z
dc.date.accessioned2025-09-09T00:54:59Z
dc.date.available2023-05-19T19:12:38Z
dc.date.issued2017-10-21
dc.format.mimetypepdf
dc.identifier.doi10.1016/j.rboe.2017.10.005
dc.identifier.issn22554971
dc.identifier.urihttps://hdl.handle.net/1843/53659
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista Brasileira de Ortopedia (English Edition)
dc.rightsAcesso Aberto
dc.subjectSarcoma
dc.subjectSalvamento de Membro
dc.subjectProcedimentos de Cirurgia Plástica
dc.subjectOsteossarcoma
dc.subjectAmputação Cirúrgica
dc.subject.otherSoft tissue sarcoma
dc.subject.otherOsteosarcoma
dc.subject.otherLimb salvage
dc.subject.otherAmputation
dc.subject.otherReconstructive surgical procedures
dc.titleAmputation risk after the revascularization procedures in sarcoma resections
dc.title.alternativeRisco de amputação após procedimento de revascularização nas ressecções de sarcoma
dc.typeArtigo de periódico
local.citation.epage719
local.citation.issue5
local.citation.spage714
local.citation.volume52
local.description.resumoObjective: 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.
local.identifier.orcidhttps://orcid.org/0000-0002-2034-0294
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S2255497117301611?via%3Dihub

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