PERSUADING THE LONG-TERM CLINICAL AND FUNCTIONAL EFFECTS OF UTILIZING MESH IN LIMB SALVAGE PROCEDURES FOR MALIGNANT BONE TUMORS- RETROSPECTIVE CLINICAL INVESTIGATION

Abstract

ABSTRACT

Background: A general orthopedic practicing surgeon may have difficulty diagnosing malignant bone tumors due to the diagnostic ambiguities involved. Following the development of better diagnostic tools and developments in the chemotherapy and radiation areas, the outcomes of limb salvage surgery have significantly improved. Tumor removal followed by massive prosthesis replacement is the normal approach after limb salvage operations. Meshes are frequently employed to enhance functional results.

Aims: Based on a comparison of movement range with participants without mesh, the current study was done to evaluate the long-term clinical and functional effects of utilizing mesh in limb salvage procedures for malignant bone tumors.

Methods: The upper end of the humerus, upper end of the femur, upper end of the tibia, and lower end of the femur area were all involved in the orthopedic limb salvage surgery for malignant bone tumors in the present retrospective clinical investigation, which involved 18 participants. Mega-prosthesis replacement was then performed. Depending on whether mesh was utilized or not, these patients were separated into two groups. In the first reconstructive procedure, mesh was employed.

Results: The Musculo Skeletal Tumor Society grading method was utilized to evaluate the outcomes, and it was discovered that after limb salvage procedures, shoulder abduction and knee extension had good mobility ranges. In conclusion, mesh after limb salvage procedures offers muscle and soft tissue anchoring as well as fibrosis induction, reducing the duration of immobilization and expanding range for active motions. This helps in better psychosocial rehabilitation of society and family.