Pathological fractures in primary bone sarcomas.

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Abstract

[Indexed for MEDLINE] 13. Eur J Orthop Surg Traumatol. 2017 Aug;27(6):777-786. doi: 10.1007/s00590-017-1999-4. Epub 2017 Jun 29. Complex surgery for locally advanced bone and soft tissue sarcomas of the shoulder girdle. Lesenský J(1), Mavrogenis AF(2), Igoumenou VG(2), Matejovsky Z Jr(1), Nemec K(1), Papagelopoulos PJ(2), Fabbri N(3). Author information: (1)Department of Orthopaedics, First Medical Faculty, Charles University, Prague Teaching Hospital, Bulovka, Prague, Czechia. (2)First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 41 Ventouri Street, 15562, Holargos, Athens, Greece. (3)Orthopaedic Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, 10065, New York, NY, USA. fabbrin@mskcc.org. Surgical management of primary musculoskeletal tumors of the shoulder girdle is cognitively and technically demanding. Over the last decades, advances in the medical treatments, imaging and surgical techniques have fostered limb salvage surgery and reduced the need for amputation. Despite well-accepted general principles, an individualized approach is often necessary to accommodate tumor extension, anatomical challenges and patient characteristics. A combination of techniques is often required to achieve optimal oncologic and durable functional outcome. Goal of this article is to review approach and management of patients with locally advanced sarcomas of the shoulder girdle requiring major tumor surgery, to illustrate principles of surgical strategy, outcome and complications, and to provide useful guidelines for the treating physicians. DOI: 10.1007/s00590-017-1999-4