Background
Chondrosarcomas is a rare tumour that has a variable biological characteristic. Also, their treatment clinically and surgically is controversial. We performed a comparison review of different regional institutions series with the aim of assessing the clinical outcome of patients.
Purposes
We, therefore, compare different institutions from different regions patients with grade 1 to 3 chondrosarcomas to (1)determine difference in survival rate, (2) local recurrence results, (3) determine successful outcome after surgery, (4) differences among surgical procedures. (5) Determine any association of clinical and demographic behaviour with gender, follow-up, treatment and chondrosarcoma affected body locations.
Methods
A retrospective review of 33 chondrosarcoma(all grades) patient’s data since 2013, compared with 15 author’s total 868 patients research literature to find more about clinical and statistical advantages and similarities with our study. Here is mentioning of clinical information’s, surgery type categorised, adjuvants types, genders, follow-up years, recurrence, affected areas, death rates, successful outcome and survival rates by using statistical methods.
Results
The overall survival rate was 94%, successful outcome 85% in 4.3 + 1.2 years follow-up. Observed wide resection, distilled water as adjuvant, chemo & radiotherapy significantly shows excellent result over our compared chondrosarcoma literature datas. We have also marked that females and humerus bone are more affected by chondrosarcoma among those literatures data.
Conclusions
Low-grade chondrosarcoma of the skeleton can be treated with wide resection and by the use of distilled water, which give good oncological outcome and a very low rate of post-surgical complications, as well as chondrosarcoma all grades recurrence.
Background: Chondrosarcoma is one of the common malignant bone tumors and is characterized by thin tumors. The cells produce tumor cartilage. It occur usually 3rd decade of life, affected more men than women. Objectives: To perform alternate surgical procedures for remove tumor and obtain fully forearm functionality by reconstruction. Methods: A patient affected by a rare proximal radius chondrosarcoma bone tumor and it became malignant (grade III). Resection the tumor along with chemotherapy and radiotherapy was done. Surgical treatments are mainly recommended for most types of chondrosarcoma treatment. However, the treatment of chondrosarcoma clinically and surgically is controversial due to different techniques. Results: Patients was fully recovered with excellent wrist and elbow joint functionality. Reconstruction of bones were fused by the support of metallic implants. There was no tumor recurrence occur during post-operative follow-up period. Conclusion: Chondrosarcoma of bone generally has an excellent prognosis when optimal diagnosed and treated by an experienced team of specialists. Its clinical treatment is always challenging due to of the rarity of these lesions and few institutions having enough patients to study about it.
Spinal tuberculosis (TB), caused by mycobacterium tuberculosis, is one of the oldest diseases in the world. Spinal TB represents 50% of bone and joint TB. If spinal TB is not diagnosed and treated in time, it could cause spinal cord infection, nerve compression and paralysis. Spinal TB often causes abscesses formation, spinal dysfunction, spinal instability, and kyphosis onset disorder. Most spinal TB can be cured by non-surgical treatment. Surgery is the ultimate method of treatment of spinal tuberculosis and it is used for eliminating lesions, relieving spinal cord and nerve compression, correcting kyphosis and building spine stability. At present, spinal TB surgical approaches are mainly posterior approach, combined anterior-posterior approach and minimally invasive techniques. The present review summarizes the advantages, disadvantages and indications for each surgical method.
Objective: This study aimed to evaluate the diagnostic methods of acute hematogenous osteomyelitis and the clinical efficacy of fenestration decompression, focus debridement, and convective flushing.
Methods: A retrospective analysis was performed on 40 patients with acute hematogenous osteomyelitis admitted to the Department of Orthopedics of our hospital from January 2011 to December 2018. There were 21 males and 19 females, aged 1–70 years, with an average age of 21.45 ± 15.23 years, including 27 children and adolescents. The pathogenic sites were as follows: femur 20 cases, tibia 16 cases, humerus 2 cases, ulna 1 case, and radius 1 case. The systemic and local symptoms of patients before and after surgery were evaluated. The results of white blood cell count (WBC), NEUT%, hs-CRP, erythrocyte sedimentation rate (ESR), imaging examination, bacteriology, and pathological examination were analyzed. Fenestration decompression, focus debridement, and convective flushing were used at the site of lesion in the surgery.
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