Department of Orthopedics, The 960th Hospital of PLA, Jinan, China.
Department of Orthopedics, Xi-jing Hospital, Air Force Military Medical University, Xi'an, China.
Orthop Surg. 2020 Aug;12(4):1021-1029. doi: 10.1111/os.12702. Epub 2020 Jul 6.
Osteosarcoma is the most common primary malignant bone tumor, occurring mainly in children and adolescents, and the limbs are the main affected sites. At present, limb-salvage treatment is considered as an effective basic standard treatment for osteosarcoma of the limb. China has a vast territory, but the development of technology is not balanced,which requires sufficient theoretical coverage, strong technical guidance and the application of limb-salvage treatment guidelines to the treatment of osteosarcoma. Therefore, to standardize and promote the development of limb-salvage surgery technology and improve the success rate of limb-salvage treatment, this guide systematically introduces limb-salvage techniques for the treatment of patients with limb osteosarcoma through definition of limb-salvage treatment, surgical methods, efficacy evaluation, postoperative treatment and prevention of complications, rehabilitation guidance, and follow-up advice.
骨肉瘤是最常见的原发性恶性骨肿瘤,主要发生于儿童和青少年,四肢为主要受累部位。目前,保肢治疗被认为是肢体骨肉瘤的有效基本标准治疗方法。中国地域广阔,但技术发展并不均衡,这需要充分的理论涵盖、强有力的技术指导,以及将保肢治疗指南应用于骨肉瘤的治疗中。因此,为了规范和促进保肢手术技术的发展,提高保肢治疗的成功率,本指南通过保肢治疗的定义、手术方法、疗效评估、术后处理和并发症的预防、康复指导以及随访建议,系统地介绍了保肢技术治疗肢体骨肉瘤患者的方法。