Limb Salvage Versus Amputation for the Management of Primary Bone Tumors of the Upper Extremity: A Systematic Review.

IF 1.3 4区医学 Q3 ORTHOPEDICS

Orthopedics Pub Date : 2026-05-01 Epub Date: 2026-05-29 DOI:10.3928/01477447-20260422-01

Anas El Zouhbi, Thomas E Wanna, Jad M El Abiad, Adnan Fatfat, Ibrahim Yassine, Rachid Haidar

引用次数: 0

Abstract

Primary bone tumors are rare yet present a significant burden to patients, with surgery being the mainstay of treatment. We reviewed outcomes of limb salvage (LS) and amputation for management of upper extremity tumors. We followed Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines for systematic reviews. A total of 2,886 studies were screened, and 5 studies were included (n = 187 patients; LS = 101, Amputation = 86). Commonly reported outcomes included local recurrence, metastasis at follow-up, and survival. Metastasis and local recurrence rates were in favor of LS surgery, with some studies reporting no differences. Survival was consistently reported to be statistically significantly in favor of LS.

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残肢与截肢治疗上肢原发性骨肿瘤：系统综述。

原发性骨肿瘤是罕见的，但对患者来说是一个很大的负担，手术是主要的治疗方法。我们回顾了肢体保留（LS）和截肢治疗上肢肿瘤的结果。我们遵循系统评价的首选报告项目和系统评价的元分析指南。共筛选2886项研究，纳入5项研究（n = 187例，LS = 101例，截肢= 86例）。通常报道的结果包括局部复发、随访转移和生存。转移和局部复发率倾向于LS手术，一些研究报告没有差异。据报道，生存在统计学上明显有利于LS。

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

Orthopedics 医学-整形外科

CiteScore

2.20

自引率

0.00%

发文量

160

审稿时长

3 months

期刊介绍： For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.