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Springer New Developments for Limb Salvage in Musculoskeletal Tumors Kyocera Orthopaedic Symposium by Takao Yamamuro
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._x000D_ Table of contents :- _x000D_
1: Functional Evaluation of Reconstruction After Tumor Resection.- Kinesiological Measurements in Patients with Various Limb Salvage or Amputation Procedures for Tumor Removal.- Gait Analysis in Patients with Osteosarcoma Treated by Limb Salvage Procedures: Compared with Those Treated by Amputation.- Limb Salvage in Malignant Pelvic Tumors: A Follow-up Study.- Functional Evaluation of Limb Salvage Operation for Malignant Bone and Soft Tissue Tumors Using the Evaluation System of the Musculoskeletal Tumor Society.- Functional Results of Rotationplasty: Analysis and Commentary of the Enneking Evaluation System.- Modular Kotz Prosthesis: The Rizzoli Experience.- Functional Evaluation of Musculoskeletal Sarcomas by Hokkaido Orthopedic Oncology Group.- Functional Evaluation of Reconstructed Extremities in Patients with Osteosarcoma After Limb Salvage Surgery.- Overall Results and Functional Evaluation of Limb Salvage for Osteosarcoma: Assessment and Proposed Reorganization of Functional Evaluation System.- 2: Influence of Limb Salvage on the Rate of Long Term Survival in Malignant Tumors.- A Multi-Institutional Cooperative Study of Osteosarcoma: Partial Report with Emphasis on Survival After Limb Salvage.- Limb Salvage for Osteosarcoma.- Limb Salvage Versus Amputation for Malignant Tumors Other Than Osteogenic Sarcoma.- Surgical Margins Influencing Oncological Results in Osteosarcoma.- A Cooperative Study on Limb Salvage Treatment for Osteosarcoma.- Long-Term Results of Limb Salvage and Amputation in Extremity Osteosarcoma: DFCI/TCH Results in Patients Receiving Postoperative Weekly High-Dose Methotrexate and Doxorubicin.- Surgical Management of Osteosarcoma in Extremities: Survival Between Limb Salvage and Amputation.- A Comparative Study of Amputation and Limb Salvage for Musculoskeletal Sarcoma: The EUSM Experience Before and After the Adoption of the Surgical Staging System.- European Osteosarcoma Intergroup: An Interim Analysis of Surgical Data.- Extremity Soft Tissue Sarcomas Treated with Limb Salvage Surgery and Amputation: A Comparison of Survival.- 3: Limiting Factors for Limb Salvage Operation.- The Impact of MRI on Staging Malignant Musculoskeletal Tumors: A Prospective Study of 65 Patients.- Limiting Factors of Limb Salvage Operation for Musculoskeletal Sarcoma.- Results of Multidisciplinary Limb Salvage in 272 Consecutive Sarcomas: Is Amputation Still Indicated in 1987?.- Role of Vascular Resection and Reconstruction in Rotationplasty.- Rotationplasty for Malignant Tumors of the Femur and Tibia.- 4: Rationales of Adjuvant Therapies for Limb Salvage.- Local Hyperthermia Reinforced by Thermotherapy As an Adjuvant Therapy for Limb Salvage: An Experimental Study.- Limb Salvage Treatment for Osteosarcoma Based on Clinicopathological Studies of Preoperative Chemotherapy.- Results of Combination Treatment of Osteogenic Sarcoma Patients.- Neoadjuvant Chemotherapy for Osteosarcoma: Results in 126 Consecutive Patients.- The Effects of Preoperative Cis-Platinum (CDDP) Therapy for the Purpose of Limb Salvage of Osteosarcoma Evaluated by Multifactor Evaluation Method: Japanese Intergroup Study of Osteosarcoma.- The Influence of Intra-Arterial Chemotherapy on Local Control of Bone Sarcoma.- Osteosarcoma in Children: Preoperative Chemotherapy with Intra-Arterial Cis-Diamminedichloroplatinum-II (CDP) Followed by Tumor Resection, Biological Reconstruction and Postoperative Adjuvant Chemotherapy.- Neoadjuvant Chemotherapy by Intra-Arterial Infusion for Osteosarcoma.- Clinical Experience with Preoperative Continuous Intra-Arterial Chemotherapy As Part of a Combined Modality Treatment for Osteosarcoma of the Extremities.- A Monoclonal Antibody Against a Subgroup of Malignant Round Cell Tumors: Cytochemical, Immunological Findings and Chromosomal Analysis.- 5: Biomaterial and Biomechanical Evaluation of Tumor Prostheses.- Histomorphological Evaluation of the Diaphyseal Anchorage in KMFTR-Type Tumor Prostheses.- The HSS Modular Linked System for Segmental Replacement.- Biological and Biomechanical Justification of Porous-Coated Modular Segmental Bone/Joint Prostheses.- Porous-Coated Segmental Prosthesis for Large Tumor Defects: A Prosthesis Based upon Immediate Fixation (PMMA) and Extracortical Bone Fixation.- The Use of Extracortical Implant Fixation to Reconstruct Large Bony Defects.- Experience in the Use of a Custom Modular Titanium Intramedullary Rod in Resection/Arthrodesis of the Knee.- Demineralized Bone Powder: Use in Bone Tumor Surgery.- Thermal Aspects of the Use of Polymethylmethacrylate in Large Metaphyseal Defects in Bone: A Clinical Review and Laboratory Study.- The Use of Methylmethacrylate As a Hyperthermia Agent for the Treatment of Giant Cell Tumors: Experience of 78 Cases in a Long-Term Appraisal (1974-1987).- 6: The Use of Ceramic Prostheses for Replacement of Bone Tumors.- Long-Term Results with Ceramic Tumor Prostheses.- New Technique for Providing Ligamentous Stability in Prosthetic Replacement of the Knee for Tumors.- Results of Alumina-Ceramic Endoprostheses Used for Bone Tumor Cases.- Results of Replacement with Ceramic Prostheses for Bone Tumors.- Clinical Application of Ceramics in Bone Tumors.- Intraoperative Radiotherapy and Ceramic Prosthesis Replacement for Osteosarcoma.- Moderator's Comment.- 7: Prosthesis vs. Osteochondral Graft, Alternative Substitute for Bone Tumor.- A Comparison of Vascularized and Conventional Bone Grafts for Bridging Large Bone Defects.- Vascularized Bone Graft for Limb Salvage Surgery of Malignant Bone Tumor.- Limb Saving Surgery Without Endoprosthesis on Malignant Bone Tumors.- Chondrocyte Viability and Cryopreservation of Frozen Osteochondral Allografts.- Limb Salvage and Massive Segmental Allograft Replacement for Malignant or Aggressive Bone Tumors After Wide Resection.- Megaprosthesis-Massive Osteochondral Allograft.- The Use of Proximal Femoral Allografts in the Treatment of Bone Tumors.- Titanium Long-Stem Prosthesis Combined with Bone Allografts in Reconstructive Surgery of High-Grade Bone Sarcomas.- 8: Reconstruction After Resection of Large Bone Tumors About the Hip and Pelvis.- Long-Term Performance of Custom Prosthetic Replacement for Neoplastic Disease of the Proximal Femur.- Total Massive Hip Prosthesis for Tumors of Upper Femur: Analysis of Twenty Cases.- Resection of Tumors of the Pelvis and Proximal Femur: Evaluation of Survival, Local Recurrence and Function.- Reconstruction After Resection of Bone Tumors About the Hip.- Bone Reconstruction Using Vascularised Bone Grafts: A 7-Year Review.- The Use of Bateman Bipolar Proximal Femoral Replacement in the Management of Proximal Femoral Metastatic Disease.- Resection and Reconstruction of Periacetabular Malignant and Aggressive Tumors.- Surgical Treatment of Bone Tumors Arising from Pelvic Ring.- Innominate Bone Resection for Tumors with Limb Preservation: A Report of 36 Cases.- Results of Treatment After Resection of Large Bone Tumors of the Pelvic Girdle.- Reconstruction After Resection of Pelvic Bone Tumors.- A Custom-Made Adaptable Pelvic Prosthesis.- The Saddle Prosthesis Mark II, Endo-Modell (R).- Pelvic and Sacrum Resections: Surgical Procedure and Outcome.- Reconstruction of Pelvis and Sacrum After Resection of Bulky Tumors.- Hemipelvis Allograft: Technical Aspects of Three Cases After Tumor Resection.- 9: Functional Results Following Resection of Tumor in the Proximal Humerus and Tibia.- Shoulder Girdle Resections for Bone and Soft Tissue Tumors: Analysis of 38 Patients and Presentation of a Unified Classification System.- Functional Results Following Resection of Tumor in the Proximal Humerus: Excluding Arthrodesis and Massive Allografts.- The Role of Limb Salvage Procedures in Patients with Bone Tumors of the Shoulder Girdle.- Proximal Humeral Osteoarticular Allograft Transplantation for Musculoskeletal Tumors of the Shoulder Region.- Limb Salvage Procedures for Primary Sarcomas of the Humerus.- Modular Endoprosthesis for Humerus and Tikhoff-Linberg Resection.- Reconstruction of the Upper Limb by Arthrodesis in Cases of Tumors of the Proximal Humerus: Six Cases of Limb Salvage Procedure of Shoulder Girdle.- Guidelines to Upper Humerus Resections.- Functional Results Following Resection Arthrodesis About the Knee.- The Use of Proximal Tibial Allografts in the Reconstruction of Tumors and Other Defects.- Operative Methods in Functional Reconstruction of Massive Giant Cell Tumors of the Proximal End of the Tibia.- Total Knee Prosthesis After Upper Tibia Resection for Tumors: Report of 42 French Cases.- Uncemented Hinge Prostheses with Reinsertion of the Ligamentum Patellae.- Techniques of Limb-Sparing Resection and Extensor Mechanism Reconstruction for High-Grade Malignant Tumors of the Proximal Tibia.- Moderator's Comment.- 10: Innovative Techniques.- Cytostatic Bone Cement: Experimental Studies and First Clinical Experience.- The Effect of Bone Cement Containing Methotrexate on the Canine Osteosarcoma: A Preliminary Report.- Casted Femur-Knee Endoprosthesis with Spongy Metal Surface and Length Adaption In Situ.- The Development of a Connection Between the Modules of a Modular Femur Endoprosthesis.- Amputoresection: An Innovative Technique in Limb Salvage Procedure for Malignant Bone Tumors.- Microsurgical Reconstructions Following Wide Resection of Bone and Soft Tissue Sarcomas in the Extremities.- Adipose Venolymphatic Transfer for Management of Postradiation Lymphedema.- Ceramic Tricalcium Phosphate As a Bone-Graft Substitute for Benign Bone Tumors.- Autotransfusion with Recovery of Blood Loss in Conservative Surgery for Tumors of Lower Limbs.- Author Index.- Key Word Index._x000D_
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