Establishing a Collaborative Orthoplastic Approach for the Management of Primary Musculoskeletal Neoplasms: An 8-year Case Series.


Journal

Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231

Informations de publication

Date de publication:
Jul 2024
Historique:
received: 23 12 2023
accepted: 10 05 2024
medline: 11 7 2024
pubmed: 11 7 2024
entrez: 11 7 2024
Statut: epublish

Résumé

Orthoplastic surgery is a multidisciplinary approach that is well-studied for extremity trauma, but not for musculoskeletal oncologic reconstruction. Here, the authors describe the application of a collaborative orthoplastic approach for the management of primary musculoskeletal neoplasms and evaluate its impact. The collaboration protocol, implemented in July 2019, comprises specific checkpoints of interdisciplinary co-management, which span the pre-, intra-, and postoperative treatment period. This involves direct communication between attending surgeons and their respective clinical teams. Patients who underwent resection of a primary musculoskeletal neoplasm between March 2014 and April 2022 were retrospectively categorized into conventional or collaboration groups. Of the 136 total patients, there were 63.2% (n = 86) conventional and 36.8% (n = 50) collaboration; 31.6% (n = 43) had reconstruction and 68.4% (n = 93) did not. Compared with the conventional group, the collaboration group had significantly higher rates of diabetes (18% versus 7%,

Identifiants

pubmed: 38988480
doi: 10.1097/GOX.0000000000005971
pii: GOX-D-23-01186
pmc: PMC11236390
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e5971

Informations de copyright

Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

Déclaration de conflit d'intérêts

The authors have no financial interest to declare in relation to the content of this article.

Auteurs

Yasmeen M Byrnes (YM)

From the Department of Plastic and Reconstructive Surgery, Geisinger Medical Center, Danville, Pa.

Gabriel Makar (G)

Geisinger Musculoskeletal Institute, Geisinger Medical Center, Danville, Pa.

Joshua D Madera (JD)

Geisinger Commonwealth School of Medicine, Scranton, Pa.

Amanda E Ruffino (AE)

Geisinger Commonwealth School of Medicine, Scranton, Pa.

Katie Frank (K)

Biostatistics Core, Department of Population Health Sciences, Geisinger Medical Center, Danville, Pa.

Thomas R Bowen (TR)

Geisinger Musculoskeletal Institute, Geisinger Medical Center, Danville, Pa.

Sean M Devitt (SM)

From the Department of Plastic and Reconstructive Surgery, Geisinger Medical Center, Danville, Pa.

Classifications MeSH