Preservation of Limb Growth Potential in Treatment of Pediatric Osteosarcoma Around the Knee: Research Progress and Future Prospect

With the development of imaging technology, advancements in surgical techniques, application of multidrug chemotherapy, and collaboration in postoperative rehabilitation, the local recurrence rate and survival of patients with osteosarcoma after limb-sparing surgery are comparable to those of patien...

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Main Authors: Zhiqing ZHAO, Wei GUO, Taiqiang YAN
Format: Article
Language:zho
Published: Magazine House of Cancer Research on Prevention and Treatment 2024-11-01
Series:Zhongliu Fangzhi Yanjiu
Subjects:
Online Access:http://www.zlfzyj.com/cn/article/doi/10.3971/j.issn.1000-8578.2024.24.0764
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author Zhiqing ZHAO
Wei GUO
Taiqiang YAN
author_facet Zhiqing ZHAO
Wei GUO
Taiqiang YAN
author_sort Zhiqing ZHAO
collection DOAJ
description With the development of imaging technology, advancements in surgical techniques, application of multidrug chemotherapy, and collaboration in postoperative rehabilitation, the local recurrence rate and survival of patients with osteosarcoma after limb-sparing surgery are comparable to those of patients after amputation. The area around the knee joint, including the distal portion of the femur and the proximal portion of the tibia, is a typical site of involvement for osteosarcoma. Metal prosthetic replacement is the most common method to reconstruct bone defect after tumor resection, which provides rapid recovery of limb function after surgery. This article mainly discusses the clinical challenge of limb-saving technology for pediatric osteosarcoma. It also describes how to optimally preserve the growth potential of children’s affected limbs to reduce the future limb length discrepancy. Limb-sparing technology is one of the most cutting-edge precision medical technologies in the industry. Sacrificing or preserving the knee joint according to the distance between the tumor of distal femur and the epiphyseal growth plate, retaining the potential for limb growth, 3D-printed reconstructed prostheses are becoming increasingly popular. This article summarizes the progress and future development in the surgical treatment of pediatric osteosarcoma around the knee to offer insights for orthopedic treatment of this disease.
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spelling doaj-art-b20965ad5f1d4dcdbd322681c58db69f2025-08-20T02:07:05ZzhoMagazine House of Cancer Research on Prevention and TreatmentZhongliu Fangzhi Yanjiu1000-85782024-11-01511189890710.3971/j.issn.1000-8578.2024.24.076420240764Preservation of Limb Growth Potential in Treatment of Pediatric Osteosarcoma Around the Knee: Research Progress and Future ProspectZhiqing ZHAO0Wei GUO1Taiqiang YAN2Department of Orthopedics, Peking University First Hospital, Beijing 100034, ChinaMusculoskeletal Tumor Center, Peking University People’s Hospital, Beijing 100044, ChinaDepartment of Orthopedics, Peking University First Hospital, Beijing 100034, ChinaWith the development of imaging technology, advancements in surgical techniques, application of multidrug chemotherapy, and collaboration in postoperative rehabilitation, the local recurrence rate and survival of patients with osteosarcoma after limb-sparing surgery are comparable to those of patients after amputation. The area around the knee joint, including the distal portion of the femur and the proximal portion of the tibia, is a typical site of involvement for osteosarcoma. Metal prosthetic replacement is the most common method to reconstruct bone defect after tumor resection, which provides rapid recovery of limb function after surgery. This article mainly discusses the clinical challenge of limb-saving technology for pediatric osteosarcoma. It also describes how to optimally preserve the growth potential of children’s affected limbs to reduce the future limb length discrepancy. Limb-sparing technology is one of the most cutting-edge precision medical technologies in the industry. Sacrificing or preserving the knee joint according to the distance between the tumor of distal femur and the epiphyseal growth plate, retaining the potential for limb growth, 3D-printed reconstructed prostheses are becoming increasingly popular. This article summarizes the progress and future development in the surgical treatment of pediatric osteosarcoma around the knee to offer insights for orthopedic treatment of this disease.http://www.zlfzyj.com/cn/article/doi/10.3971/j.issn.1000-8578.2024.24.0764pediatric osteosarcomalimb salvagegrowth potentialsurgical treatmentfuture development
spellingShingle Zhiqing ZHAO
Wei GUO
Taiqiang YAN
Preservation of Limb Growth Potential in Treatment of Pediatric Osteosarcoma Around the Knee: Research Progress and Future Prospect
Zhongliu Fangzhi Yanjiu
pediatric osteosarcoma
limb salvage
growth potential
surgical treatment
future development
title Preservation of Limb Growth Potential in Treatment of Pediatric Osteosarcoma Around the Knee: Research Progress and Future Prospect
title_full Preservation of Limb Growth Potential in Treatment of Pediatric Osteosarcoma Around the Knee: Research Progress and Future Prospect
title_fullStr Preservation of Limb Growth Potential in Treatment of Pediatric Osteosarcoma Around the Knee: Research Progress and Future Prospect
title_full_unstemmed Preservation of Limb Growth Potential in Treatment of Pediatric Osteosarcoma Around the Knee: Research Progress and Future Prospect
title_short Preservation of Limb Growth Potential in Treatment of Pediatric Osteosarcoma Around the Knee: Research Progress and Future Prospect
title_sort preservation of limb growth potential in treatment of pediatric osteosarcoma around the knee research progress and future prospect
topic pediatric osteosarcoma
limb salvage
growth potential
surgical treatment
future development
url http://www.zlfzyj.com/cn/article/doi/10.3971/j.issn.1000-8578.2024.24.0764
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AT weiguo preservationoflimbgrowthpotentialintreatmentofpediatricosteosarcomaaroundthekneeresearchprogressandfutureprospect
AT taiqiangyan preservationoflimbgrowthpotentialintreatmentofpediatricosteosarcomaaroundthekneeresearchprogressandfutureprospect