Patiño Ríos Pablo AndrésUniversidad Central del Ecuador, Ecuador
Title: Complications in orthopedic oncology. Literature review
Background: Complications resulting from cancer treatment, although unusual, constitute a major problem and a real challenge for the orthopedic surgeon and the multidisciplinary team when they occur. Current cancer treatment is based on a clinical-surgical component based on chemotherapy, radiotherapy and, depending on the case, life-saving surgery, hygienic surgery (toilette), debulking surgery or surgery with a palliative purpose. The medical literature on the subject points out various orthopedic complications caused by oncological treatment, both in adults and in children, which can be related above all to bone metabolism, affectation in growth and development, greater bone fragility and risk of fractures, gait defects, osteonecrosis, infection, among other things.
Objective: To describe the complications in orthopedic oncology according to the review of the literature.
Results: A total of 36 articles are shown for review. The search for scientific information was carried out in the following databases: Cochrane Library, PubMed, Springer, Tripdatabase. The different complications secondary to cancer treatment in both adults and pediatric patients were analyzed, and their impact on skeletal growth, as well as the risk of presenting osteonecrosis, fractures, secondary malignancy, together with preoperative recommendations.
Conclusions: Oncology treatment in orthopedics, like other medical procedures, is not complication-free, and it is important to be aware of these complications to offer a better quality of life to oncology patients.