Use of mesh in orthopaedic oncology surgery
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Background: Malignant bone tumors are always considered diagnostic dilemma for general orthopaedic surgeon. And treatment for the same is again not known to general orthopaedic surgeon. Due to better availability of diagnostic modalities and advancement in chemotherapy and radiotherapy the results of limb salvage surgeries are improving day by day. In limb salvage surgeries after tumor resection, replacement with megaprosthesis is one of the standard method. We have used mesh in soft tissue reconstruction to improve functional outcomes after such surgeries. Aims and Objectives: The aim of our study is to evaluate the results of use of mesh in Orthopaedic oncology surgeries in terms of movements in comparison to surgeries where mesh was not used. Objective is to assess functional and clinical outcomes of the patients. Material and methods: A retrospective study of 19 patients with minimum follow up of 6 months was carried out. We have studied proximal humerus, proximal femur, distal femur and proximal tibia tumors treated by limb salvage surgery and replacement with megaprosthesis. Two study groups, one without mesh and one with use of mesh were compared. Results: Results were evaluated by Musculo Skeletal Tumor Society (MSTS) scoring system. Conclusion: Mesh is a good option for Orthopaedic Oncology surgeries to induce fibrosis and provide attachment to the muscles and soft tissues. It helps in achieving good range of active movements and can lessen the time for immobilization.
Authors and Affiliations
Dr. Manish R Shah, Dr. Manisha M Shah
Keywords
Related Articles
- EP ID EP487653
- DOI 10.22271/ortho.2018.v4.i3h.76
- Views 129
- Downloads 0
The effect of platelet-rich plasma injection on lateral epicondylitis following failed conservative management
Introduction: Pain from the lateral aspect of the elbow was first described in 1873, and has since then been given different names such as tennis elbow, lateral epicondylitis, epicondylitis, epicondylalgia and lateral el...
Study of lower end radius fractures treated with external fixator with or without K wire
Objectives: A prospective study of management of fracture distal radius by external fixator using the principle of ligamentotaxis was conducted from July 2016 to August 2017 at our institute to evaluate the clinical effi...
A comparative study of fixation of pertrochanteric fractures with dynamic hip screw and proximal femoral nail
Trochanteric femoral fractures are among the most common injuries necessitating hospital admission. Regardless the type of fracture, trochanteric fractures can lead to substantial morbidity and mortality, especially in e...
The efficacy of local steroid injection versus conservative management in Dequervain’s disease: A prospective randomised study
De Quervain’s tenosynovitis is a painful condition of the wrist which leads to difficulties in performing activities of daily living. Aim of the study is to examine the effectiveness of steroid injection therapy as compar...
Clinical outcome of single intra articular injection of triamcinolone acetonide depot preparation on knee osteoarthritis
Oral pharmacological agents are not effective for long term and have many side effects if used for longer period of time. Intraarticular injection of hyaluronic acid injections and other biological agents like bone marro...