Publications by authors named "B Gunterberg"

Patients with transfemoral amputation (TFA) often experience problems related to the use of socket-suspended prostheses. The clinical development of osseointegrated percutaneous prostheses for patients with a TFA started in 1990, based on the long-term successful results of osseointegrated dental implants. Between 1999 and 2007, 51 patients with 55 TFAs were consecutively enrolled in a prospective, single-centre non-randomised study and followed for two years.

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Background: Isolated limb perfusion with tumor necrosis factor alpha and melphalan (TM-ILP) has proven to be a successful option in treating advanced soft tissue sarcomas (STS), where amputation otherwise is needed to achieve safe surgical margins.

Methods: From 2000 to 2009, 54 patients with locally advanced STS, who all were candidates for amputation, were treated with totally 57 TM-ILP procedures and then followed prospectively. The median follow-up time was 30 months.

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Article Synopsis
  • The study reports on the outcomes of 18 patients (8 males, 10 females, average age 45) using bone-anchored trans-femoral prostheses with osseointegration, focusing on their health-related quality of life (HRQL) after 2 years compared to before surgery.
  • The research utilized self-report questionnaires (SF-36 and Q-TFA) preoperatively and at follow-up, revealing significant improvements in physical functioning, pain levels, and overall prosthetic use and mobility among the majority of participants.
  • The results indicate that osseointegrated prostheses significantly enhance the rehabilitation process and quality of life for individuals with transfemoral amputations.
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Background: Until now, surgical treatment has been the mainstay in the treatment of desmoid tumors, even though it is associated with a high recurrence rate. There have, however, been occasional case reports showing that desmoid tumors may spontaneously decrease in size or even disappear.

Patients And Methods: This is a retrospective review of 8 patients with abdominal (5) or extra-abdominal (3) desmoid tumors who were followed both clinically and with imaging techniques (sonography, CT or MRI).

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We retrospectively studied the outcome in a consecutive series of 30 patients with desmoid tumors who were followed for more than 20 years after treatment (surgery in 29 patients). A local recurrence occurred in 12 patients and more than 1 recurrence occurred in 8. 3 patients had spontaneous complete regression of the tumor.

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