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ORIGINAL ARTICLE
Year : 2020  |  Volume : 4  |  Issue : 3  |  Page : 141-145

Incidence and predictors of 30-day postoperative complications following musculoskeletal tumor surgery


1 Department of Surgery, King Abdulaziz Medical City; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
2 College of Medicine, King Saud Bin Abdulaziz University for Health Sciences; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
3 King Abdullah International Medical Research Center; College of Medicine, Almareefa University, Riyadh, Saudi Arabia
4 King Abdullah International Medical Research Center, Riyadh; College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia

Correspondence Address:
Dr. Mutlaq Almutlaq
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences,Riyadh; King Abdullah International Medical Research Center, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmsr.jmsr_20_20

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Objectives: Surgical intervention remains one of the best curative approaches in musculoskeletal (MSK) tumors. However, postoperative complications remain an issue, especially within the first 30-day postoperatively. Hence, the main objective of this study is to estimate the incidence and to identify the predictive factors of 30-day complications following MSK tumor surgery (MTS). Methods: This is a retrospective, descriptive study of 85 patients who had undergone MTS between 2016 and 2019 in our institution. The included patients were those who had MTS caused by a malignant tumor or giant cell tumor. Results: Twenty-eight patients (33%) had a complication during the first 30 days following surgery. The most common complication was surgical site infection in 64% (n = 18 / 28) followed by venous thromboembolism in 11% (n = 3 / 28) and then death in 7% of the patients (n = 2 / 28). Complications were distributed equally among genders. The complication rate was 36% in bone tumor surgeries (n = 22 / 61) and 21% in soft tissue tumor surgeries (n = 4 / 24). Ewing's sarcoma patients had the highest complication rate among bone tumors (36%, n = 8 / 22). Lower extremities' surgeries had the highest complication rate (35%, n = 18 / 51). Furthermore, 80% of the patients with a cardiovascular condition other than hypertension developed a complication (n = 4 / 5, P = 0.0322). Conclusion: One-third of the patients who underwent MTS developed a complication within a 30-day duration. The diagnosis of Ewing's sarcoma, surgery of lower extremities, and preexisting cardiovascular conditions was linked to a higher complication rate.


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