SURVIVAL AND COMPLICATIONS ASSOCIATED WITH UNCONVENTIONAL ENDOPROSTHESIS RECONSTRUCTIONS FOR PRIMARY BONE TUMORS AND BONE METASTASES.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220243201e283525

Daniel César Seguel Rebolledo, Rodrigo DA Silva Cordeiro, André Mathias Baptista, Luiz Filipe Marques Correia, Ricardo Pietrobon, Olavo Pires DE Camargo

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引用次数: 0

Abstract

Objective: To evaluate the survival and complications associated with unconventional stent reconstructions for bone and soft tissue tumors.

Methods: We retrospectively extracted data from the ICESP (Instituto do Cancer do Estado de São Paulo) registry system to evaluate postoperative complications, including thrombosis, amputation, infection, tumor recurrence, and death. We also assessed time until complications and reoperations, as well as survival.

Results: We evaluated 108 patients who underwent unconventional stent reconstruction surgeries for bone tumors. There were significant associations between smoking and tumor recurrence, and between type of cancer, patient functionality, hypertension, and the occurrence of postoperative complications, presence of comorbidities, and death after surgery. Patients with soft tissue tumors and those unable to perform normal activities were at risk of earlier complications.

Conclusion: Type of cancer, patient functionality, presence of comorbidities, stent location, and exposure to chemotherapy or radiotherapy are important risk factors associated with complications and survival after unconventional stent reconstruction surgeries. Level of Evidence IV, case series, retrospective study.

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原发性骨肿瘤和骨转移的非常规骨内假体重建的生存率和并发症。

目的：评价骨及软组织肿瘤采用非常规支架重建的生存率及并发症。方法：我们回顾性地从ICESP （Instituto do Cancer do Estado de s o Paulo）登记系统中提取数据，评估术后并发症，包括血栓形成、截肢、感染、肿瘤复发和死亡。我们还评估了到并发症和再手术的时间，以及生存率。结果：我们评估了108例接受非常规骨肿瘤支架重建手术的患者。吸烟与肿瘤复发、癌症类型、患者功能、高血压、术后并发症的发生、合并症的存在和术后死亡之间存在显著相关性。软组织肿瘤患者和不能进行正常活动的患者有早期并发症的风险。结论：肿瘤类型、患者功能、合并症的存在、支架的位置以及是否接受化疗或放疗是影响非常规支架重建术后并发症和生存率的重要危险因素。证据水平IV，病例系列，回顾性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.