Evidence map›Paper›PMID 36404289›Full record

ArticleOrthopaedic surgery2023

Neoadjuvant Chemotherapy and Expandable Prosthesis Reconstruction to Treat Osteosarcoma around the Knee in Children.

Junqi Huang, Jiajia Cheng, Wenzhi Bi, Meng Xu, Jinpeng Jia, Gang Han, Wei Wang

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Junqi HuangDepartment of Orthopaedics, Mianyang Central Hospital, Mianyang, China.ORCID https://orcid.org/0000-0003-0551-3481
Jiajia ChengDepartment of Orthopaedics, Mianyang Central Hospital, Mianyang, China.
Wenzhi BiDepartment of Orthopaedics, PLA General Hospital, Beijing, China.
Meng XuDepartment of Orthopaedics, PLA General Hospital, Beijing, China.
Jinpeng JiaDepartment of Orthopaedics, PLA General Hospital, Beijing, China.
Gang HanDepartment of Orthopaedics, PLA General Hospital, Beijing, China.
Wei WangDepartment of Orthopaedics, PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNMianyang Central Hospital · CN

Funding

Mianyang Central Hospital 2019FH15
6 · The paper itself

Abstract

objectiveSurvival and reconstruction in osteosarcoma is quite challenging. The study aimed to investigate the prognosis in patients treated with neoadjuvant chemotherapy and determine the clinical outcomes of expandable endoprosthesis reconstruction in children.

methodsFrom January 2009 to December 2014, we retrospectively analyzed 29 skeletally immature children (mean age, 10.5 years; range, 6-15 years) with osteosarcoma around the knee. Of the 29 patients who underwent neoadjuvant chemotherapy and limb salvage surgery, an expandable prosthesis was implanted for reconstruction. No patients were missed during follow-up. The evaluation index involved follow-up time, complication, functional results, and lengthening procedures. The survivorship and recurrence were assessed by GraphPad Software, and the function was evaluated by the Musculoskeletal Tumor Society (MSTS) scoring system.

resultsA mean follow-up time was 8.9 years (range, 6-12 years), and the overall 5-year survival was 89.1% based on Kaplan-Meier analysis. Three patients suffered a relapse and one underwent amputation. Lung metastasis developed in one patient. At 6 months after the operation, patients had a mean MSTS score of 27 points (range, 24-29). Two patients underwent revision surgery, one for implant infection and one for aseptic loosening. Prognosis is correlated with alkaline phosphatase change after treatment.

conclusionsChemotherapy scheme and limb salvage can achieve high survival rates. This expandable prosthesis was associated with good function and low complication rates. The character of expandability could be a method to overcome discrepancies in the growth period.

Indexed as

Bone NeoplasmsKnee ProsthesisOsteosarcomaChildHumansLimb SalvageNeoadjuvant TherapyNeoplasm Recurrence, LocalProstheses and ImplantsRetrospective StudiesTreatment OutcomeChildExpandable prosthesisKneeNeoadjuvant chemotherapyOsteosarcoma

Identifiers

PMID36404289
PMCPMC9837235
OpenAlexW4309444210

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.