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KMID : 0613319970030010047
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Journal of the Korean Bone and Joint Tumor Soceity
1997 Volume.3 No. 1 p.47 ~ p.55
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Clinical Results of the Limb Salvage Procedure in Bone Tumor
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Shon Won-Yong
Lim Hong-Cheol
Yoon Jung-Rho
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Abstract
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Duriong the last decade, the use of primary amputation has decreased, and a larger number of patients are being treated with resection and reconstruction with limb prewervation. The advantage of chemotherapy, improvements in diagnostic imaging methods and newer techniques for reconstruction have made limb salvage an alternative to amputation for most patients with malignant bone tumor. Clinical results and functional results of the limb salbage operation of bone tumors treated at the Dpartment of Orthopaeic Surgery, Guro Hospital, Korea university was reviewed. Eighteen bone tumors(seven giant cell tumors and eleven malignant bone tumors.) were studied over a period of five years. The libm salvage group included fourteen endoprothesis, two pasteurized autograft, one near total scapulectomy and one rotationplasty. Functional evluation was performed according to the Enneking`s modified system. The result were as followed; 1. At a mean follow-up of thirty two months (15-77 months), fourteen(83%) of the eighteen patients with limb salvage procedures had been continuously disease free. 2. There arte no local recurrence but deep infection developed in two patients and three patients with distant metastasis. 3. Thirteen(87%) of the fifteen patients showed avove 60% of functional results. 4. Fourteen(93%) of the fifteen patients were satisied with the limb salvage procedures.
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KEYWORD
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Bone Tomor, Ginag Cell Tumor, Osteosarcoma, Limb Salvage Procedure
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