Haut- und Weichteilkomplikationen nach tumororthopädischen Eingriffen

Radtke, Christine; Calließ, Tilman; Vogt, Peter M.

doi:10.1007/s00104-014-2834-7

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…Collaboration of orthopedic and plastic surgery teams regarding musculoskeletal neoplasms is not a new concept. 4 However, as evidenced by the orthoplastic limb salvage movement, the key to success is not simply the existence of some collaboration, but rather the initiation of a formalized interdisciplinary protocol to promote co-management throughout treatment. This study is limited by its retrospective nature and restriction to a single institution.…”

Section: Discussionmentioning

confidence: 99%

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Establishing a Collaborative Orthoplastic Approach for the Management of Primary Musculoskeletal Neoplasms: An 8-year Case Series

Byrnes,

Makar,

Madera

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Summary: Orthoplastic surgery is a multidisciplinary approach that is well-studied for extremity trauma, but not for musculoskeletal oncologic reconstruction. Here, the authors describe the application of a collaborative orthoplastic approach for the management of primary musculoskeletal neoplasms and evaluate its impact. The collaboration protocol, implemented in July 2019, comprises specific checkpoints of interdisciplinary co-management, which span the pre-, intra-, and postoperative treatment period. This involves direct communication between attending surgeons and their respective clinical teams. Patients who underwent resection of a primary musculoskeletal neoplasm between March 2014 and April 2022 were retrospectively categorized into conventional or collaboration groups. Of the 136 total patients, there were 63.2% (n = 86) conventional and 36.8% (n = 50) collaboration; 31.6% (n = 43) had reconstruction and 68.4% (n = 93) did not. Compared with the conventional group, the collaboration group had significantly higher rates of diabetes (18% versus 7%, P = 0.048) and radiation treatment (68% versus 43%, P = 0.005). The collaboration group was significantly more likely to have plastic surgery involvement in their care than the conventional group (38% versus 14%, P = 0.001), and to undergo reconstruction (42% versus 26%, P = 0.047). The groups showed no difference in rates of hematoma, seroma, delayed healing, infection, 30- or 90-day reoperation, or partial or complete flap/graft failure. The collaborative approach described here is feasible and associated with increased plastic surgery involvement and reconstructive surgery. Complications were equivalent despite evidence suggesting increased case complexity in the collaboration group. These early results are promising and could inspire wider adoption of structured orthoplastic protocols for care of these patients.

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Section: Discussionmentioning

confidence: 99%

“… 3 Literature about orthoplastics collaboration in these cases largely includes small descriptive case series and theoretical algorithms. 3 , 4 …”

Section: Introductionmentioning

confidence: 99%

Establishing a Collaborative Orthoplastic Approach for the Management of Primary Musculoskeletal Neoplasms: An 8-year Case Series

Byrnes,

Makar,

Madera

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Image-guided Cryotherapy for Musculoskeletal Tumors

Scandiffio

Bozzi

Ezeldin

et al. 2021

CMIR

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Background: This article represents a review about the use of image-guided cryotherapy in the treatment of musculoskeletal tumor lesions. Cryotherapy is able to induce a lethal effect on cancer cells through direct and indirect mechanisms. In this manuscript, we combined our experience with that of other authors who have published on this topic in order to provide indications on when to use cryotherapy in musculoskeletal oncology. Discussion: Image-Guided percutaneous cryotherapy is a therapeutic method now widely accepted in the treatment of patients with musculoskeletal tumors. It can be used both for palliative treatments of metastatic bone lesions and for the curative treatment of benign bone tumors such as osteoid osteoma or osteoblastoma. In the treatment of bone metastases, cryotherapy plays a major role in alleviating or resolving disease-related pain but it has also been demonstrated that it can have a role in local disease control. In recent years, the use of cryotherapy have also expanded for the treatment of both benign and malignant soft tissue tumors. Conclusion: Percutaneous cryotherapy can be considered a safe and effective technique in the treatment of benign and malignant musculoskeletal tumors. Cryotherapy can be considered the first option in benign tumor lesions such as osteoid osteoma and a valid alternative to radiofrequency ablation. In the treatment of painful bone metastases, it must be considered secondarily to other standard treatments (radiotherapy, bisphosphonate therapy and chemotherapy) where they are no longer effective in controlling the disease or when they cannot be repeated (for example radiotherapy).

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Modern Principles of Treatment of Purulent Wounds of Soft Tissue (Literature Review)

Mamakeev,

Umetaliev,

Abdyshev

et al. 2024

Bulletin of Science and Practice

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Discusses the treatment of purulent wounds in experimental and clinical surgery. Traditional methods of treatment often turn out to be ineffective and there is a need to improve them and develop new methods and means. Today there are many methods to improve the results of treatment of purulent wounds, but none of the methods completely satisfies surgeons and the very fact of the numerous proposed methods indicates their insufficient effectiveness and the lack of a common point of view on this problem. The main thing in the treatment of purulent processes is the timely and wide opening of ulcers and their subsequent rational drainage, which helps reduce the absorption of decay products of microbes and tissues, toxins, limit the process and speedy rejection of necrotic tissue. In the general structure of surgical diseases, surgical infection is observed in 35-45% of patients. This is due to the increasing number of patients with purulent wounds and the difficulty in choosing treatment tactics.

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Haut- und Weichteilkomplikationen nach tumororthopädischen Eingriffen

Cited by 4 publications

References 20 publications

Establishing a Collaborative Orthoplastic Approach for the Management of Primary Musculoskeletal Neoplasms: An 8-year Case Series

Establishing a Collaborative Orthoplastic Approach for the Management of Primary Musculoskeletal Neoplasms: An 8-year Case Series

Image-guided Cryotherapy for Musculoskeletal Tumors

Modern Principles of Treatment of Purulent Wounds of Soft Tissue (Literature Review)

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