Malaysian Orthopaedic Journal最新文献

Beyond Overuse: A Cross-Sectional Analysis of Insulin Resistance in De Quervain's and Stenosing Flexor Tenosynovitis. 在过度使用之外：De Quervain和狭窄性屈肌腱滑膜炎中胰岛素抵抗的横断面分析。

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Malaysian Orthopaedic Journal Pub Date : 2026-03-01 DOI: 10.5704/MOJ.2603.010

E M de-la-Paz

{"title":"Beyond Overuse: A Cross-Sectional Analysis of Insulin Resistance in De Quervain's and Stenosing Flexor Tenosynovitis.","authors":"E M de-la-Paz","doi":"10.5704/MOJ.2603.010","DOIUrl":"https://doi.org/10.5704/MOJ.2603.010","url":null,"abstract":"Introduction: Insulin resistance (IR) or metabolic syndrome (MetS) may escalate the propensity for tenosynovitis from accrual of advanced glycation end products from chronic hyperglycaemia. This study characterised IR/MetS among patients with de Quervain's tenosynovitis (DQT) and trigger finger (TF) or stenosing flexor tenosynovitis in a clinical practice setting.Materials and methods: A prospective, non-interventional, cross-sectional study enrolled 118 patients with DQT or TF at a general orthopaedics-hand surgery practice. IR/MetS was defined using established criteria, including HbA1c levels, a prior diagnosis of prediabetes (PD) or type 2 diabetes (T2D), and Japanese diagnostic guidelines. The proportion of IR was analysed using descriptive statistics. Patient characteristics and metabolic parameters were summarised and compared between IR and non-IR groups.Results: Of 93 patients included in the final analysis, 65 (70%) were insulin resistant. Among IR patients, 47% had PD, and 23% had T2D. No significant gender differences were observed. Patients with IR had higher mean BMI, blood uric acid, fasting blood sugar, HbA1c, and TG:HDL-C ratios compared to non-IR patients. The distribution of TF and DQT was similar between groups.Conclusion: This study describes the metabolic profile of patients with tenosynovitis, revealing a high proportion of IR/MetS. These findings highlight metabolic dysfunction as a potential factor in chronic tendinopathies and underscore the need for further research into underlying mechanisms and targeted interventions.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"20 1","pages":"84-89"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Asymptomatic Rotator Cuff Tendinopathy in Elderly Diabetics: Is Routine Magnetic Resonance Imaging Evaluation of the Shoulder Warranted? 老年糖尿病患者无症状肩袖肌腱病变：常规肩核磁共振成像评估是否合理？

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Malaysian Orthopaedic Journal Pub Date : 2026-03-01 DOI: 10.5704/MOJ.2603.004

T P Gupta, B Sirohi, M A Jafri, S Rai

{"title":"Asymptomatic Rotator Cuff Tendinopathy in Elderly Diabetics: Is Routine Magnetic Resonance Imaging Evaluation of the Shoulder Warranted?","authors":"T P Gupta, B Sirohi, M A Jafri, S Rai","doi":"10.5704/MOJ.2603.004","DOIUrl":"https://doi.org/10.5704/MOJ.2603.004","url":null,"abstract":"Introduction: The occurrence of rotator cuff tendinopathy, which is invariably symptomatic, increases as populations age, being largely observed among patients with diabetes. The objective of the present study is to find out the occurrence of rotator cuff tendinopathy in elderly diabetic patients who were asymptomatic, composed of healthy individuals and those with diabetes mellitus.Materials and methods: The participants in this study included 87 elderly diabetic patients and 56 controls (mean age: 69.3±4.9 and 71.8±3.6, respectively), who were asymptomatic from shoulder. All patients underwent shoulder MRI examination using 1.5 tesla MRI.Results: We recorded greater tendons thickness in the diabetic patients as compared with the controls (supraspinatus tendon: 6.6±0.7mm vs 5.3±0.8mm, p<0.001; biceps tendon: 3.9±0.7mm vs 3.1±0.8mm, p<0.002). Moreover, higher incidence of supraspinatus tendon tear was noted in diabetics as compared to biceps tendon (major tears: 32 (36.7%) vs 6 (10.7%), p=0.052; minor tears: 51 (58.6%) vs 11 (19.6%), p=0.032).Conclusions: The present study suggests that age-related rotator cuff tendinopathy is more prevalent among patients with diabetes. Therefore, MRI is an investigation of choice for early detection i.e., at pre-symptomatic stages of rotator cuff tendinopathy, as the patients may develop symptoms later.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"20 1","pages":"30-40"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dual Plating with 4.5mm PHILOS for Managing Challenging Humerus Shaft Non-Unions: A Novel Technique. 4.5mm PHILOS双电镀治疗肱骨骨不连：一项新技术。

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Malaysian Orthopaedic Journal Pub Date : 2026-03-01 DOI: 10.5704/MOJ.2603.011

P Luke, S I Sim, A Gardner, Y H Ng, J H Tan

{"title":"Dual Plating with 4.5mm PHILOS for Managing Challenging Humerus Shaft Non-Unions: A Novel Technique.","authors":"P Luke, S I Sim, A Gardner, Y H Ng, J H Tan","doi":"10.5704/MOJ.2603.011","DOIUrl":"https://doi.org/10.5704/MOJ.2603.011","url":null,"abstract":"Introduction: Fixation failures of humeral shaft fractures are uncommon. When they do occur, revision fixation can be challenging. This study aims to evaluate the clinical and radiological outcomes of a novel surgical technique for managing challenging humerus midshaft fractures and non-unions, specifically assessing union and complication rates.Materials and methods: This retrospective study included all consecutive patients who underwent surgical fixation of midshaft humerus fractures using our novel dual plating technique between October 2016 and July 2019. Six patients were included. At follow-up, union was assessed using plain films.Results: Mean age was 50.8 ± 18.0 years, including 4 males and 2 females. All surgeries were revision fixations except for one primary fixation. Mean follow-up period was 6.5 ± 2.3 months. At final follow-up, 5 of 6 patients (83.3%) achieved clinical and radiographic union, with a mean time to union of 6.4 ± 2.0 months. Residual angular deformity at union averaged 1.2 ± 0.8° in the coronal plane and 2.0 ± 2.0° in the sagittal plane. Aside from one case of delayed union, no major complications were reported.Conclusion: The novel dual plating technique can be reliably executed with good results and shows promise as a surgical treatment option for non-union or implant failure. While particularly valuable in revision settings, it may be considered for challenging primary fixations. Further research is needed before recommending its widespread use in primary fracture management.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"20 1","pages":"90-96"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pitfalls and Pearls for Diagnosis of a Child with Tuberculosis Osteomyelitis Masquerading as Brodie's Abscess: A Case Report. 儿童结核性骨髓炎伪装成布罗迪脓肿的诊断陷阱和要点：1例报告。

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Malaysian Orthopaedic Journal Pub Date : 2026-03-01 DOI: 10.5704/MOJ.2603.022

S H Marseno, T W Martanto, A Zulkarnain, H Yazid, R Y Christanto

{"title":"Pitfalls and Pearls for Diagnosis of a Child with Tuberculosis Osteomyelitis Masquerading as Brodie's Abscess: A Case Report.","authors":"S H Marseno, T W Martanto, A Zulkarnain, H Yazid, R Y Christanto","doi":"10.5704/MOJ.2603.022","DOIUrl":"https://doi.org/10.5704/MOJ.2603.022","url":null,"abstract":"Tuberculous osteomyelitis is an uncommon manifestation of extrapulmonary tuberculosis in children, with diaphyseal involvement being particularly rare. Its insidious course and nonspecific imaging often lead to misdiagnosis as pyogenic osteomyelitis or Brodie's abscess, resulting in delayed treatment. This report highlights a diagnostically challenging case of paediatric tibial tuberculosis osteomyelitis mimicking Brodie's abscess. A 15-year-old girl presented with an 18-month history of chronic pain, swelling, and a draining sinus on her left lower leg. Despite undergoing multiple surgeries and a prolonged course of anti-tuberculous therapy, symptoms persisted. Radiographic and MRI findings suggested Brodie's abscess with diaphyseal and metaphyseal involvement. However, biopsy revealed granulomatous inflammation, and polymerase chain reaction (PCR) testing confirmed Mycobacterium tuberculosis. Subsequent treatment led to clinical improvement and radiological bone union at six-month follow-up. The case underscores the diagnostic difficulty in distinguishing TB osteomyelitis from subacute pyogenic infections, especially in children. Classical radiologic features such as sclerotic rims, lytic lesions, and periosteal reaction are often indistinguishable. FNAB and pus cultures may yield inconclusive results. In this case, PCR was pivotal for definitive diagnosis. Misdiagnosis can lead to inappropriate treatment and unnecessary surgical interventions. Tuberculosis should be considered in the differential diagnosis of chronic osteomyelitis, particularly in TB-endemic regions. Early use of molecular diagnostics such as PCR, along with histopathology, is critical for accurate diagnosis. A multidisciplinary approach facilitates timely intervention, prevents complications, and improves outcomes.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"20 1","pages":"167-171"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Injury Epidemiology among Malaysian National Men's and Women's Football Teams: A Prospective Cohort Study during 2022-2023. 马来西亚国家男子和女子足球队的损伤流行病学：2022-2023年的前瞻性队列研究

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Malaysian Orthopaedic Journal Pub Date : 2026-03-01 DOI: 10.5704/MOJ.2603.015

A H Ahmad-Shushami, Mai Rosidi, M S A-Hamid, K H Hussein, I Saudi

{"title":"Injury Epidemiology among Malaysian National Men's and Women's Football Teams: A Prospective Cohort Study during 2022-2023.","authors":"A H Ahmad-Shushami, Mai Rosidi, M S A-Hamid, K H Hussein, I Saudi","doi":"10.5704/MOJ.2603.015","DOIUrl":"https://doi.org/10.5704/MOJ.2603.015","url":null,"abstract":"Introduction: To determine the injury incidence, burden, and characteristics among Malaysian national football players.Materials and methods: Three Malaysian national men's teams (U-19, U-23, and Senior) and the three Malaysian national women's teams (U-18, U-20, and Senior) were followed prospectively from June 2022 to June 2023. All training and match injuries, together with exposures, were recorded by the team doctor and physiotherapist.Results: The men's team recorded a total of 85 injuries during 5153 hours of exposure, equal to an incidence rate of 16.5 injuries per 1000 hours. Match injuries showed greater incidence (65.9 vs 7.8 injuries per 1000 hours) and burden (444.6 time-loss days per 1000 hours against 13.9 time-loss days per 1000 hours) as compared to training. Thigh injuries were the predominant injuries, followed by knee and ankle injuries. In the women's team, 17 injuries were reported over 1698 hours of exposure, producing a total incidence rate of 10.0 injuries per 1000 hours. Higher injury frequency and burden were seen during match play (47.6 versus 4.1 injuries per 1000 hours and 1272.7 versus 6.81 time-loss days per 1000 hours, respectively). The ankle and quadriceps were the most frequently reported injuries, followed by the knee.Conclusion: The Malaysian national men's team recorded a higher injury incidence compared to the women's, however no significant difference in injury burden noted between genders. The incidence of injuries during matches is greater than that during training, with thigh, ankle, and knee injuries being the most prevalent.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"20 1","pages":"119-127"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Orthopaedic Trauma Care in Gaza: Malaysian Emergency Medical Teams' Experience and Challenges. 加沙骨科创伤护理：马来西亚紧急医疗队的经验和挑战。

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Malaysian Orthopaedic Journal Pub Date : 2026-03-01 DOI: 10.5704/MOJ.2603.024

Z F Zairul-Nizam, Kah Abdul-Ghani, M Masniza

引用次数: 0

What is the Functional Role of Obturator Externus Muscle? The Case of a Moderate Tear in a Professional Soccer Player: A Case Report. 闭孔外肌的功能作用是什么？一名职业足球运动员中度撕裂一例。

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Malaysian Orthopaedic Journal Pub Date : 2026-03-01 DOI: 10.5704/MOJ.2603.021

M Abate, G Cocco, L Sammarchi, V Salini

{"title":"What is the Functional Role of Obturator Externus Muscle? The Case of a Moderate Tear in a Professional Soccer Player: A Case Report.","authors":"M Abate, G Cocco, L Sammarchi, V Salini","doi":"10.5704/MOJ.2603.021","DOIUrl":"https://doi.org/10.5704/MOJ.2603.021","url":null,"abstract":"The obturator externus muscle is a pelvic and hip muscle with a complex anatomical arrangement, which is involved in hip stability. This paper presents a new case of an obturator externus muscle tear in a professional soccer player, offering valuable insights into the clinical presentation, diagnostic challenges, and successful conservative management. Additionally, a comprehensive review of the literature on this topic is presented. A 21-year-old player reported anterior hip and adductor discomfort after a game, with no recollection of a specific traumatic event. Clinical examination revealed tenderness and limited range of motion during external hip rotation with flexion. Ultrasonography was inconclusive, but magnetic resonance imaging showed a partial obturator externus muscle tear. The athlete was submitted to a structured exercise program and, despite the injury, continued training and playing without functional limitations. The magnetic resonance imaging, performed after 35 days, revealed a complete recovery. This paper highlights the rarity of obturator externus muscle tears, their potential underreporting, and the diagnostic value of magnetic resonance imaging in identifying these deep-seated injuries. Importantly, the player's rapid recovery and ability to continue playing suggest that conservative management can lead to excellent functional outcomes. The possible reasons explaining the complete recovery, including the role of this muscle in hip stability and individual anatomical variations, are discussed.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"20 1","pages":"162-166"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of Factors Affecting the Union of Closed Subtrochanteric Femur Fractures treated by Cephalomedullary Nailing. 影响头髓内钉治疗闭合性股骨粗隆下骨折愈合的因素分析。

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Malaysian Orthopaedic Journal Pub Date : 2026-03-01 DOI: 10.5704/MOJ.2603.005

M N Aroor, M S Kulkarni, S Shetty, S Vijayan, S G Bharadwaj, S K Rao

{"title":"Analysis of Factors Affecting the Union of Closed Subtrochanteric Femur Fractures treated by Cephalomedullary Nailing.","authors":"M N Aroor, M S Kulkarni, S Shetty, S Vijayan, S G Bharadwaj, S K Rao","doi":"10.5704/MOJ.2603.005","DOIUrl":"https://doi.org/10.5704/MOJ.2603.005","url":null,"abstract":"Introduction: With surgical advancements and improved implants and instrumentation, nailing is the procedure of choice in subtrochanteric fractures. However, failure in achieving reduction of the multidirectional displacement of the fragments prior to passing the nail, contributes to delayed/non-unions at the fracture site leading to implant failures. In this study, we aim to analyse the factors affecting union of closed subtrochanteric fractures treated by nailing.Materials and methods: In this retrospective study, closed subtrochanteric fractures treated with cephalomedullary nailing between 2015 and 2019 were included. Demographic, surgical and radiological data were retrieved and analysed. A total of 60 cases were eligible to be included in the study.Results: Majority of patients were male (50), with a mean age of 46.07±16.40 years. Twenty-two fractures were multifragmentary having a separate butterfly fragment. In 27 patients mini-open technique was used to get the anatomical alignment and to hold reduction until fixation. Overall, the mean time for union was 7.63±5.85 months. We had nine delayed unions and eight non-unions. Varus alignment in the coronal plane of more than 8.5° was the only significant factor associated with delayed or non-union apart from loss of medial continuity.Conclusion: We recommend achieving fracture reduction with less than 8.5° of varus malalignment in the coronal plane. Varus malalignment is poorly tolerated in fractures at this region. To achieve this, we suggest having a very low threshold to minimally open the fracture site for reduction of these fractures, which does not have any negative effect on the fracture union.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"20 1","pages":"41-50"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reconstruction of Aggressive Grade 3 Calcaneal Giant Cell Tumour with Femoral Head Allograft: A Case Report. 股骨头异体移植重建侵袭性3级跟骨巨细胞瘤1例。

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Malaysian Orthopaedic Journal Pub Date : 2026-03-01 DOI: 10.5704/MOJ.2603.020

M Ibrahim, Z Khan

{"title":"Reconstruction of Aggressive Grade 3 Calcaneal Giant Cell Tumour with Femoral Head Allograft: A Case Report.","authors":"M Ibrahim, Z Khan","doi":"10.5704/MOJ.2603.020","DOIUrl":"https://doi.org/10.5704/MOJ.2603.020","url":null,"abstract":"Giant Cell Tumour (GCT) of bone is a benign, locally aggressive neoplasm. GCT of the foot is rare, comprising of about 5% of cases of all GCTs. GCT of Calcaneus is exceedingly rare, comprising of 1.2% of all calcaneal tumours. Due to its uncommon occurrence at this site, diagnosis can be delayed. In this report, we present the case of a Campanacci Grade 3 GCT of calcaneus in a 43-year-old female patient with 8 months history of worsening pain and disability. We treated her successfully by resection of Os-calcis and reconstruction with a femoral head allograft and K-wire fixation, a relatively cheaper and technically lesser challenging method of reconstruction. Three years' post-surgery, she remains disease free, and her graft has healed. She continues to walk independently and remains disease free clinically and radiologically. We discuss a comparison with other reported cases where surgeons have opted for detailed intra-lesional curettage (DILC) and cementoplasty to fill the defect for a Grade 2 disease, some have even used a sural for soft tissue coverage with a maximum follow-up of two years. While in our patient we went for Calcanues resection and reconstruction with allograft because of a Grade 3 disease that poses greater risk of local recurrence with just DILC. Our patient has a three-year follow-up where she remains disease free.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"20 1","pages":"157-161"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Outcome Between Neoadjuvant Chemotherapy with Limb Salvage Surgery and Amputation with Chemotherapy in Osteosarcoma Patients: A Systematic Review. 骨肉瘤患者新辅助化疗保肢手术与截肢化疗预后的比较：一项系统综述。

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Malaysian Orthopaedic Journal Pub Date : 2026-03-01 DOI: 10.5704/MOJ.2603.009

J Rudyan, Ige Wiratnaya, P Astawa

{"title":"Comparison of Outcome Between Neoadjuvant Chemotherapy with Limb Salvage Surgery and Amputation with Chemotherapy in Osteosarcoma Patients: A Systematic Review.","authors":"J Rudyan, Ige Wiratnaya, P Astawa","doi":"10.5704/MOJ.2603.009","DOIUrl":"https://doi.org/10.5704/MOJ.2603.009","url":null,"abstract":"Introduction: Osteosarcoma is a rare malignant bone tumour arising from primitive mesenchymal tissue, most often affecting males aged 10-30. Historically, treatment involved amputation or disarticulation, with a 5-year overall survival rate of just 20%.Materials and methods: This systematic review included studies from MEDLINE, Cochrane, EMBASE, and Google Scholar. Additionally, reference lists of relevant sources were manually reviewed. The search, conducted through 2021, used terms such as amputation, osteosarcoma, bone cancer, recurrence, and metastasis.Results: Eight relevant studies were thoroughly reviewed, most conducted at single institutions and published between 1990 and 2019, covering data from 1983 to 2015 and involving 1,389 patients. Three studies (646 patients) assessed 5-year disease-free survival (DFS) in limb osteosarcoma, reporting a median DFS of 56.9 months (range: 6-78 months). Five studies (969 patients) analysed local recurrence, showing higher relapse rates with limb salvage surgery (LSS) compared to amputation (73.5% vs. 28.1%). Additionally, six studies (1,141 patients) evaluated 5-year overall survival, with better outcomes in the LSS group (351 survivors) compared to the amputation group (248 survivors).Conclusion: In conclusion, this thorough review makes a valuable contribution to the current understanding of survival and local recurrence outcomes in patients with limb osteosarcoma treated with either LSS or amputation. The findings suggest that LSS is associated with a higher 5-year survival rate compared to amputation.","PeriodicalId":45241,"journal":{"name":"Malaysian Orthopaedic Journal","volume":"20 1","pages":"78-83"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0