Classification of failure of limb salvage after reconstructive surgery for bone tumours A MODIFIED SYSTEM INCLUDING BIOLOGICAL AND EXPANDABLE RECONSTRUCTIONS
Classification of failure of limb salvage after reconstructive surgery for bone tumours A MODIFIED SYSTEM INCLUDING BIOLOGICAL AND EXPANDABLE RECONSTRUCTIONS
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DOI：
10.1302/0301-620x.96b11.34747
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发表时间：
2014-11-01
影响因子：
4.6
通讯作者：
Letson, G. D.
中科院分区：
文献类型：
--
作者：
Henderson, E. R.;O'Connor, M. I.;Letson, G. D.
以前的保肢失败分类系统主要集中在假体失败，缺乏足够的深度，有效地研究失败的原因。为了解决这些不足之处，国际保肢协会（ISOLS）成立了一个委员会，建议修改以前的系统。本研究报告的目的是报告他们的建议。这些修改是使用早期的循证模型和基于现有医学文献的子分类进行的。制定了内假体重建后所有五种主要保肢失败类型的子分类，并推导出生物重建失败的补充系统。此外，还描述了儿科患者的另一种失败分类，保肢手术存在一系列复杂的潜在失败机制，需要对失败类型进行完整和精确的分类。早期的分类系统缺乏特异性，本文概述的循证系统旨在纠正这些弱点，并提供一种报告保肢失败的方法，以便解释重建手术后的结局。
Previous classification systems of failure of limb salvage focused primarily on endoprosthetic failures and lacked sufficient depth for the effective study of the causes of failure. In order to address these inadequacies, the International Society of Limb Salvage (ISOLS) formed a committee to recommend revisions of the previous systems. The purpose of this study was to report on their recommendations. The modifications were prepared using an earlier, evidence-based model with subclassification based on the existing medical literature. Subclassification for all five primary types of failure of limb salvage following endoprosthetic reconstruction were formulated and a complementary system was derived for the failure of biological reconstruction. An additional classification of failure in paediatric patients was also described.Limb salvage surgery presents a complex array of potential mechanisms of failure, and a complete and precise classification of types of failure is required. Earlier classification systems lacked specificity, and the evidence-based system outlined here is designed to correct these weaknesses and to provide a means of reporting failures of limb salvage in order to allow the interpretation of outcome following reconstructive surgery.