CLINICAL AND FUNCTIONAL FOLLOW UP OF UTILIZING MESH IN LIMB SALVAGE PROCEDURES FOR BONE TUMOR MANAGEMENT

Abstract

Background: Because of the diagnostic ambiguities associated with malignant bone tumours, a practicing general orthopaedic surgeon may find it challenging to make the diagnosis. The results of limb salvage surgery have greatly improved after advancements in radiation and chemotherapy, as well as enhanced diagnostic tools. After limb salvage procedures, the standard procedure is to remove the tumour and then replace the prosthesis in large quantities. Meshes are often used to improve functional outcomes. 

Aims: The current study assessed the long-term clinical and functional outcomes of using mesh in limb salvage surgeries for malignant bone tumours based on a comparison of movement range with patients without mesh. Methods: The orthopaedic limb salvage surgery for malignant bone tumours in the present retrospective clinical analysis covered 18 participants and involved the upper end of the humerus, upper end of the femur, upper end of the tibia, and lower end of the femur area. After that, a mega-prosthesis replacement was carried out. These patients were divided into two groups based on the use of mesh or not. Mesh was used in the first reconstructive operation. 

Results: The results were graded using the Musculo Skeletal Tumour Society system, and it was found that the ranges of motion for the shoulder abduction and knee extension were satisfactory following limb salvage surgeries.

Conclusion: In summary, mesh provides fibrosis induction and muscle and soft tissue anchoring following limb salvage operations, hence shortening the period of immobilisation and increasing range of motion for active motions. Better psychosocial rehabilitation of the family and community is aided by this.