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Knochen- und Weichteiltumoren des Fußes und Sprunggelenkes

Epidemiologie, Versorgungsstrategie und klinisch-funktionelle Ergebnisse nach operativer Therapie

Bone and soft-tissue tumors of the foot and ankle

Epidemiology, treatment strategy, and clinicofunctional results after surgical therapy

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Zusammenfassung

Hintergrund

Diese Studie berichtet über die Epidemiologie der Knochen- und Weichteiltumoren des Fußes und Sprunggelenkes, stellt eine differenzierte Therapieplanung vor und evaluiert mittelfristige klinisch-funktionelle Ergebnisse nach Operation der malignen Tumoren.

Methode

204 Patienten mit Tumoren des Fußes wurden analysiert (163 benigne und 41 maligne Tumoren). Epidemiologie und operative Versorgung werden dargestellt

Ergebnisse

Häufigste benigne Tumoren waren Exostosen, Knochenzysten und Osteoidosteom, häufigste maligne Tumoren Metastasen, Chondrosarkom und Ewing-Sarkom. Bei benignen Tumoren konnte in über 90% eine lokale Resektion durchgeführt werden, während sich bei malignen Tumoren Amputation und Arthrodese einerseits und Extremitäten- oder Gelenkerhalt andererseits die Waage hielten. Klinisch ergaben sich nach operativer Versorgung der primär malignen Tumoren gute funktionelle Resultate und eine 5-Jahres-Überlebensrate von 84%.

Schlussfolgerung

Tumoren des Fußes erfordern eine differenzierte Versorgungsstrategie. Trotz eines hohen Anteils an extremitäten- und gelenkopfernden Operationen sind die mittelfristigen funktionellen Ergebnisse und die Überlebensrate gut.

Abstract

Background

This study reports the epidemiology of bone and soft-tissue tumors of the foot and ankle, presents therapy strategies, and evaluates mid-term clinicofunctional outcome after surgery for malignant tumors.

Methods

Two hundred four patients with tumors of the foot and ankle were analyzed (163 benign and 41 malignant). Epidemiology and surgical therapy are reported.

Results

The most frequent tumors were exostosis, bone cyst, and osteoid osteoma for benign tumors and metastases and chondrosarcoma and Ewing’s sarcoma for malignant tumors. In more than 90% of the benign tumors, local resection could be carried out, whereas in malignant tumors, ablative procedures and arthrodeses were almost as common as limb- and joint-sparing techniques. However, follow-up revealed good functional results and a 5-year survival rate of 84% for patients with primary malignant tumors.

Conclusion

Tumors of the foot and ankle require a thorough therapeutic strategy. Mid-term functional results and survival rate after surgical treatment are good, although a high percentage of ablative procedures or fusions could not be avoided in our patients.

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Authors and Affiliations

  1. Orthopädische Universitätsklinik Heidelberg

    M. Buchner, L. Bernd, A. Zahlten-Hinguranage & D. Sabo

  2. Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstraße 200a, 69118 , Heidelberg

    M. Buchner

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  1. M. Buchner
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  2. L. Bernd
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  3. A. Zahlten-Hinguranage
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  4. D. Sabo
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Correspondence to M. Buchner.

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Buchner, M., Bernd, L., Zahlten-Hinguranage, A. et al. Knochen- und Weichteiltumoren des Fußes und Sprunggelenkes. Chirurg 76, 391–397 (2005). https://doi.org/10.1007/s00104-004-0963-0

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  • DOI: https://doi.org/10.1007/s00104-004-0963-0

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