Long-Term Outcomes of Limb-Salvage Surgery for Malignant Bone Tumors at a Single Institution in a Developing Country

• Published in: The gulf journal of oncology Vol. 1; no. 41; p. 42
• Main Authors: Shehadeh, Ahmad, Al Qawasmi, Muhamad, Edilbi, Adib, Sultan, Iyad, Ismael, Taleb, Yaser, Sameer, Al Mousa, Abdellatif
• Format: Journal Article
• Language: English
• Published: Kuwait 01-01-2023
• Subjects: Bone Neoplasms - pathology; Developing Countries; Humans; Limb Salvage - methods; Osteosarcoma; Retrospective Studies; Treatment Outcome; Osteosarcoma Ewing Sarcoma; Limb salvage surgery; Osteo-oncology; Orthopedic cancer
• ISSN: 2078-2101

With the introduction of neoadjuvant chemotherapy, increased expertise in surgical oncology, and advanced skeletal imaging techniques, limb salvage surgery is becoming the standard of care for treating malignant bone tumors. However, few studies have examined the outcomes of limb salvage surgery with relatively large sample sizes in developing countries.
Therefore, we conducted a retrospective study of 210 patients who received limb salvage surgery at King Hussein Cancer Center in Amman, Jordan, over a follow-up period of 1 to 14.5 years (2006-2019).
Negative resection margins occurred in 203 (96.7%) patients and local control occurred in 178 (84.8%) patients. The mean functionality outcome for all patients was 90%, and 153 (72.9%) patients did not experience any complications. The 10-year survival rate for all patients was 69.7%, and the rate of secondary amputations was 4%.
Therefore, we conclude that the outcomes of limb salvage surgery in a developing country are comparable to those in developed countries when adequate resources and trained orthopedic oncology teams are available.