Our Experience with the Modular Universal Tumour and Revision System in Pediatric Patients with Ewing's Sarcoma – Report of Six Cases
Keywords:sarcoma, Ewing surgery, bone neoplasms surgery, expandable endoprostheses, limb length inequality, limb salvage surgery
Ewing’s sarcoma (ES) usually affects patients between 10 and 19 years of age and has a rapid progression. The main goal of surgical treatment is to remove the tumour with at least wide margins, limb salvage being achievable in most cases. In recent years, modular tumour endoprostheses have become one of the main methods used in children.
From August 2012 to May 2019, six patients with histologically diagnosed ES underwent limb salvage surgery and reconstruction with a MUTARS® type endoprosthesis. The mean age of the patients is 12.6 years (from 8 to 16). For the reconstruction in all six patients we used MUTARS® type endoprostheses, two of which were expandable (MUTARS® Xpand) (33.33%).
The average follow-up period was 40 months. The longest follow-up was 96 months. The average MSTS score one month after operative treatment and rehabilitation was 62% (18/30) and the average MSTS score after 12 months was 72% (21/30). Mechanical failure of the expanding mechanism was the main complication we encountered in our series.
In conclusion limb salvage surgeries and reconstruction with modular tumour endoprostheses give patients with Ewing’s sarcoma not only a chance for a disease-free life, but a potentially functional limb.
How to Cite
LicenseCopyright (c) 2023 Proceedings of the Bulgarian Academy of Sciences
Copyright (c) 2022 Proceedings of the Bulgarian Academy of Sciences
Copyright is subject to the protection of the Bulgarian Copyright and Associated Rights Act. The copyright holder of all articles on this site is Proceedings of the Bulgarian Academy of Sciences. If you want to reuse any part of the content, please, contact us.