OUTCOME FOLLOWING PELVIC SARCOMA RESECTION RECONSTRUCTED WITH SADDLE PROSTHESIS.
Notice bibliographique
Résumé
We evaluate the outcome (Functional, Oncological, and complications) after resection of pelvic sarcoma and reconstruction with the saddle prosthesis. Twenty-seven patients with a mean follow up of forty-five months. Fourteen patients were free of disease, eleven patients were deceased, and two patients were alive with disease. MSTS 93 was 51 %, MSTS 87 was15%, and TESS was 64 %. Infection occurred in ten, fracture in six, and dislocation in six patients. Vertical migration stabilized after two years. Five patients were retired, five had full-time employment, six were disabled, and eleven were deceased. Reconstruction with saddle prosthesis following resection for pelvic sarcoma is associated with significant morbidity. Treatment of pelvic sarcoma is difficult. Of many techniques described for reconstruction of the pelvis following tumor resection, limited data exists to compare functional results. To evaluate the outcome after resection of pelvic sarcoma and reconstruction with the saddle prosthesis. This retrospective study includes twenty-seven patients who underwent saddle prosthetic reconstruction for pelvic sarcoma. Functional outcome was assessed with MSTS 1987 & 1993 and the Toronto Extremity Salvage Score (TESS). Oncological outcome parameters and complications were recorded. We reviewed twenty-seven patients with a mean follow up of forty-five months. Seven (26%) patients underwent type II (periacetabular) pelvic resection, twenty had type II & III (periacetabular and pubis). Eleven patients received chemotherapy. None received radiation. Fourteen patients were free of disease, eleven patients were deceased, and two patients were alive with disease. The survival rate was 60%, 22% had local recurrence, and 22% had metastasis. Functional evaluation was completed in seventeen patients and the mean for MSTS 93 was 50.8 %, the MSTS 87 was15.3%, and the TESS was 64.4 %. Infection occurred in ten cases, and there were five nerve palsies. Heterotopic ossification occurred in ten, fracture in six, and dislocation in six patients. Limb shortening was initially progressive but stabilized after two years and ultimately ranged between one and six centimeters. Five patients were retired, five had full-time employment, six were disabled, and eleven were deceased. Reconstruction with saddle prosthesis following resection for pelvic sarcoma is associated with significant morbidity. However the functional results appear to confer an advantage when compared to the significant disability following hemipelvectomy
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».