Evidence map›Paper›PMID 42422644›Full record

ReviewCureus2026

Orthopaedic Oncology in Contemporary Practice: A Comprehensive Review of Primary Bone Tumours, Metastatic Pathways, and Evolving Surgical Techniques.

Parishekh Paulraj Jawahar, Ravinandan H A, Utkarsh Mahera, Parampreet Singh Mundh, Jassim Rahiman K, Ashish Kumar Shukla, Sukanta Bandyopadhyay

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Parishekh Paulraj JawaharDepartment of Orthopedics, Apollo Hospitals Old Mahabalipuram Road (OMR), Chennai, IND.
Ravinandan H ADepartment of Orthopedics, Mysore Medical College and Research Institute, Mysore, IND.
Utkarsh MaheraDepartment of Orthopedics, Shalby Hospital, Ahemdabad, IND.
Parampreet Singh MundhDepartment of Orthopedics, Amandeep Hospital, Amritsar, IND.
Jassim Rahiman KDepartment of Kayachikitsa (Internal Medicine), All India Institute of Ayurveda, University of Delhi, New Delhi, IND.
Ashish Kumar ShuklaDepartment of Radiodiagnosis, Santosh Medical College, Santosh Deemed to Be University, Ghaziabad, IND.
Sukanta BandyopadhyayDepartment of Biochemistry, Rama Medical College Hospital and Research Centre, Kanpur, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Orthopaedic oncology encompasses the diagnosis and management of primary bone sarcomas and metastatic skeletal disease, requiring integration of oncologic principles with complex musculoskeletal reconstruction. Advances in molecular classification, cross-sectional imaging, systemic therapy, and surgical technology have substantially transformed contemporary clinical practice. This comprehensive review synthesises current evidence across epidemiology, tumour biology, diagnostic strategies, staging systems, multidisciplinary management, reconstructive techniques, complication profiles, and survivorship considerations in modern orthopaedic oncology. Contemporary classification frameworks incorporating molecular and genetic insights have improved diagnostic precision and prognostic stratification. Structured staging systems and validated risk assessment tools facilitate clinical decision-making, particularly in metastatic bone disease, where the prediction of pathological fracture and mechanical instability guides prophylactic intervention. Progress in limb-salvage surgery, modular endoprosthetic reconstruction, intercalary replacement, biologic reconstruction, and technology-assisted resection has expanded functional preservation while maintaining oncologic safety. Integration of radiotherapy and systemic therapies, including targeted and multimodal regimens, has enhanced survival in selected malignancies, shifting emphasis toward durable reconstruction and quality-of-life outcomes. Persistent challenges include tumour heterogeneity, infection and mechanical complications, and variability in long-term functional reporting. Contemporary orthopaedic oncology is defined by multidisciplinary coordination and biologically informed surgical strategy. Continued refinement of molecular stratification, standardised outcome assessment, and technological innovation remains essential to optimise oncologic control and functional recovery in patients with primary and metastatic bone tumours.

Indexed as

bone metastasislimb salvagemusculoskeletal oncologysarcomatumour reconstruction

Identifiers

PMID42422644
PMCPMC13343452

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.