Classification of failure of limb salvage after reconstructive surgery for bone tumours: A modified system including biological and expandable reconstructions

E. R. Henderson, M. I. O'Connor, P. Ruggieri, R. Windhager, P. T. Funovics, C. L. Gibbons, W. Guo, F. J. Hornicek, H. T. Temple, G. D. Letson

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)1436-1440
Number of pages5
JournalBone and Joint Journal
Volume96B
Issue number11
DOIs
Publication statusPublished - Nov 1 2014

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery
  • Medicine(all)

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    Henderson, E. R., O'Connor, M. I., Ruggieri, P., Windhager, R., Funovics, P. T., Gibbons, C. L., Guo, W., Hornicek, F. J., Temple, H. T., & Letson, G. D. (2014). Classification of failure of limb salvage after reconstructive surgery for bone tumours: A modified system including biological and expandable reconstructions. Bone and Joint Journal, 96B(11), 1436-1440. https://doi.org/10.1302/0301-620X.96B11.34747