EPOS 34th Annual Meeting

2015 Journal of Children's Orthopaedics  
LEVEL-II/Tumours Materials and Methods: In 12 patients operated on for bone sarcoma resection, a postoperative magnetic resonance imaging of the resection specimens was obtained in order to assess the surgical margins. Margins were classified according to MRI in R0, R1, R2 by three independent observers: a radiologist and two orthopaedic surgeons. Final margin evaluation (R0, R1, R2) was assessed by a confirmed pathologist. Results: Agreement for margin evaluation between the pathologist and
more » ... radiologist was perfect (k = 1). Agreement between the pathologist and an experienced orthopaedic surgeon was very good (k = 0.87) while it was fair between the pathologist and a junior orthopaedic surgeon (k = 0.25). Discussion: MRI should be considered as a tool to give quick information about the adequacy of margins and to help the pathologist to focus on doubtful areas and to spare time in specimen analysis. But it may not replace the pathological evaluation that gives additional information about tumor necrosis. Conclusion: This study shows that MRI extemporaneous analysis of a resection specimen may be efficient in bone tumor oncologic surgery, if made by an experienced radiologist with perfect agreement with the pathologist. EP2 Are 6 weeks of spica cast immobilization adequate for achieving hip stability following closed reduction of unstable DDH?
doi:10.1007/s11832-015-0640-5 pmid:25716893 pmcid:PMC4353813 fatcat:e2phrdnu75ej5foia46d24x6vq