New Developments for Limb Salvage in Musculoskeletal Tumors

Introduction of new diagnostic methods including various imaging techniques in the field of orthopaedic surgery has enabled us to make early and precise diagnoses of musculoskeletal tumors. In addition, recent progress in the chemotherapy and radiotherapy of malignant tumors has raised the five-year survival rate remarkably, although complete recovery from these treatments alone cannot be expected as yet. These medical advances naturally stimulate the search for ways of limb salvage even in malignant musculoskeletal oncology. To this pur pose, not only oncologists, but orthopaedic surgeons, radiologists, engineers, and biomaterials scientists should work together to design suitable surgical procedures and prostheses using autograft, allograft and biomaterials. The First International Workshop on the Design and Application of Tumor Prostheses for Bone and Joint Reconstruction was held in 1981 in Rochester, Minnesota. Participants were of an interdisciplinary nature in order to establish a basis for cooperative efforts, which have subsequently spread throughout the world. Since then, biennial inter national symposia have been held successively in Vienna, Florida, and Kyoto. Previous gatherings of this prestigious series were open only to a small number of experts.

Klappentext

This book gives information about the newest methods for limb salvage in musculoskeletal oncology. The contributions describe concepts of chemotherapy, immunotherapy, radiation therapy, hyperthermia, and biomechanical and biomaterial design for the fabrication of tumor prosthesis. Functional results in terms of limb salvage are evaluated by an internationally accepted rating system. Various modern approaches to limb salvage for malignant musculoskeletal conditions are given.

Inhalt
1: Functional Evaluation of Reconstruction After Tumor Resection.- 2: Influence of Limb Salvage on the Rate of Long Term Survival in Malignant Tumors.- 3: Limiting Factors for Limb Salvage Operation.- 4: Rationales of Adjuvant Therapies for Limb Salvage.- 5: Biomaterial and Biomechanical Evaluation of Tumor Prostheses.- 6: The Use of Ceramic Prostheses for Replacement of Bone Tumors.- 7: Prosthesis vs. Osteochondral Graft, Alternative Substitute for Bone Tumor.- 8: Reconstruction After Resection of Large Bone Tumors About the Hip and Pelvis.- 9: Functional Results Following Resection of Tumor in the Proximal Humerus and Tibia.- 10: Innovative Techniques.- Author Index.- Key Word Index.