tailieunhanh - Phẫu thuật chỉnh hình nhi khoa

Tiến sĩ Weisstein hoặc bộ phận nào với nhận ĐÃ Ông là nghiên cứu có liên quan thể chế hoặc hỗ trợ từ một nguồn thương mại hoặc nguồn. Cả Tiến sĩ Goldsby cũng không khoa với ông là nhận nào có liên ĐÃ bất cứ điều gì có giá trị từ hoặc sở hữu cổ phiếu trong một công ty thương mại hoặc tổ chức liên quan trực tiếp hoặc gián tiếp đến chủ đề của bài viết này. | Oncologic Approaches to Pediatric Limb Preservation Jason S. Weisstein MD MPH Robert E. Goldsby MD and Richard J. O Donnell MD Dr. Weisstein is Partner Tucson Orthopaedic Institute Center for Orthopaedic Oncology Tucson AZ. Dr. Goldsby is Assistant Professor of Clinical Pediatrics Department of Pediatrics University of California San Francisco CA. Dr. O Donnell is Associate Professor of Clinical Orthopaedic Surgery University of California San Francisco. Dr. Weisstein or the department with which he is affiliated has received research or institutional support from a commercial source or sources. Neither Dr. Goldsby nor the department with which he is affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article. Dr. O Donnell or the department with which he is affiliated has received research or institutional support from a commercial source or sources. Reprint requests Dr. O Donnell UCSF Comprehensive Cancer Center University of California at San Francisco 1600 Divisadero Street San Francisco CA 94115-1939. J Am Acad Orthop Surg 2005 13 544-554 Copyright 2005 by the American Academy of Orthopaedic Surgeons. Abstract Preservation of limb function in the pediatric oncology patient is uniquely challenging. Treatment must be strictly prioritized in terms of the patient s life the limb its function length equalization and cosmetic appearance. At the same time social socioeconomic and cultural factors must be understood and respected to achieve the most advantageous outcome for both the patient and family. Given these considerations as well as the relative rarity of many oncologic diagnoses and the myriad of presentation scenarios drafting generalized treatment recommendations is difficult. Instead orthopaedic intervention in the care of children and young adults with oncologic conditions must be individualized with the broad goal being optimization of limb function .