Amputations For Malignancy: Two Abstracts

The encouraging findings on postoperative survival and prosthetic wear reported in these two studies provide additional support for the practice of early prosthetic fitting following amputation for malignant bone tumor. As stated in the malignancy survey report by Taft and Fishman (ICIB, February 1966): "It would appear that if there is no evidence of metastasis and the stump is suitable for fitting, a limb should be fitted at the earliest possible date."


Hemipelvectomy: A Clinical Study Of 100 Cases With Five-Year Follow-Up On 60 Patients.

N.L. Higinbotham, R.C. Marcove, and P. Casson. (Memorial Hospital for Cancer and Allied Diseases, James Ewing Hospital, New York City.) Surgery 59:706, 1966.

Higinbotham and his associates report on their study of 100 consecutive cases of hemipelvectomy for malignant bone tumor that were performed at Memorial Hospital. Ages of the patients ranged from nine to 75 years; one-fifth of the total were less than 21 years of age. Chondrosarcoma (43 cases) and osteogenic sarcoma (26 cases) were the most frequent indications for surgery. The operative mortality rate was 7 percent. Sixty patients had been followed for five years or more, and 21 of these patients are living and well at five years. Thirty-five patients had been followed for ten or more years, and 12 of these patients are alive and well. Twenty-four patients have used a prosthesis for extended periods of time. The authors conclude that "hemipelvectomy is a worthwhile operation for malignant tumors of the pelvis and proximal thigh with an acceptable mortality rate and an adequate long-term survival rate to justify its use."

Hemipelvectomy For Malignant Tumours Of Bone.

E.V.S. Koskinen (University Central Hospital, Helsinki, Finland.) Annales Chirurgiae et Gynaecologiae Fenniae 56:9, 1967.

Koskinen reports three cases of hemipelvectomy for malignant bone tumor, involving preoperative arteriographic examination, which he finds to be an excellent aid in determining the nature and extent of the tumor. The tumors were osteogenic sarcoma, recurrent chondromyxosarcoma, and recurrent periosteal fibrosarcoma. All three patients were alive and in good condition at the time of the report (four and one-half, two and one-half, and one-half years after operation), and each uses his prosthesis regularly.