Surgical Outcome of Soft Tissue Sarcomas of the Adductor Compartment

Purpose. To review outcomes and complications of 25 consecutive patients with soft tissue sarcomas in the adductor compartment. Methods. Records of 11 men and 14 women aged 20 to 83 (mean, 56) years who underwent resection for soft tissue sarcomas in the adductor compartment were reviewed. Two of th...

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Main Authors: Hannes A Rudiger, Samuel YK Ngan, Peter FM Choong
Format: Article
Language:English
Published: SAGE Publishing 2009-12-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949900901700307
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author Hannes A Rudiger
Samuel YK Ngan
Peter FM Choong
author_facet Hannes A Rudiger
Samuel YK Ngan
Peter FM Choong
author_sort Hannes A Rudiger
collection DOAJ
description Purpose. To review outcomes and complications of 25 consecutive patients with soft tissue sarcomas in the adductor compartment. Methods. Records of 11 men and 14 women aged 20 to 83 (mean, 56) years who underwent resection for soft tissue sarcomas in the adductor compartment were reviewed. Two of the patients had undergone inadequate resection of the tumour elsewhere. No patient had metastases. 20 and 2 patients underwent neo-adjuvant and postoperative radiotherapy, respectively. The interval between radiotherapy and surgery was at least 3 weeks. No neo-adjuvant chemotherapy was given. 24 patients underwent limb salvage surgery and one had external hemipelvectomy. 21 patients had direct wound closure; in 4 a microsurgical free flap was used. Results. The overall survival rate was 81% and 72% at 3 and 5 years, respectively, and remained unchanged until the end of follow-up. Four patients died from pulmonary metastases and one died from liver metastases. One patient had local recurrence, and 7 (26%) developed major complications. Five patients underwent revision surgery. Conclusion. Good survival and local control rates can be achieved in patients with soft tissue sarcomas in the adductor compartment using limb salvage and radiotherapy.
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spelling doaj.art-6143397949174c399345eb10fe2919ee2022-12-22T00:30:11ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902009-12-011710.1177/230949900901700307Surgical Outcome of Soft Tissue Sarcomas of the Adductor CompartmentHannes A Rudiger0Samuel YK Ngan1Peter FM Choong2 Department of Orthpaedics, St Vincent's Hospital, Melbourne, Australia Deptartmen of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia Department of Orthpaedics, St Vincent's Hospital, Melbourne, AustraliaPurpose. To review outcomes and complications of 25 consecutive patients with soft tissue sarcomas in the adductor compartment. Methods. Records of 11 men and 14 women aged 20 to 83 (mean, 56) years who underwent resection for soft tissue sarcomas in the adductor compartment were reviewed. Two of the patients had undergone inadequate resection of the tumour elsewhere. No patient had metastases. 20 and 2 patients underwent neo-adjuvant and postoperative radiotherapy, respectively. The interval between radiotherapy and surgery was at least 3 weeks. No neo-adjuvant chemotherapy was given. 24 patients underwent limb salvage surgery and one had external hemipelvectomy. 21 patients had direct wound closure; in 4 a microsurgical free flap was used. Results. The overall survival rate was 81% and 72% at 3 and 5 years, respectively, and remained unchanged until the end of follow-up. Four patients died from pulmonary metastases and one died from liver metastases. One patient had local recurrence, and 7 (26%) developed major complications. Five patients underwent revision surgery. Conclusion. Good survival and local control rates can be achieved in patients with soft tissue sarcomas in the adductor compartment using limb salvage and radiotherapy.https://doi.org/10.1177/230949900901700307
spellingShingle Hannes A Rudiger
Samuel YK Ngan
Peter FM Choong
Surgical Outcome of Soft Tissue Sarcomas of the Adductor Compartment
Journal of Orthopaedic Surgery
title Surgical Outcome of Soft Tissue Sarcomas of the Adductor Compartment
title_full Surgical Outcome of Soft Tissue Sarcomas of the Adductor Compartment
title_fullStr Surgical Outcome of Soft Tissue Sarcomas of the Adductor Compartment
title_full_unstemmed Surgical Outcome of Soft Tissue Sarcomas of the Adductor Compartment
title_short Surgical Outcome of Soft Tissue Sarcomas of the Adductor Compartment
title_sort surgical outcome of soft tissue sarcomas of the adductor compartment
url https://doi.org/10.1177/230949900901700307
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