Hindquarter and Forequarter Amputations in the Palliative Setting: A Narrative Review of Patient Outcomes
摘要
This review examines the role of hindquarter and forequarter amputations in the palliative care of patients with advanced limb sarcomas. It aims to clarify surgical indications, patient selection criteria, quality-of-life outcomes, and ethical considerations.
Recent FindingsRecent research highlights that around 80% of patients undergoing these major amputations achieve immediate symptom relief, especially from pain and bleeding. While prosthetic adoption remains limited, innovations such as vascularized flap reconstruction and osseointegrated prosthetics have improved outcomes. Structured psychological support and family-centered care significantly aid postoperative adjustment.
SummaryHindquarter and forequarter amputations offer substantial palliative benefits when used selectively, enhancing comfort, dignity, and quality of life in terminal sarcoma cases. Their success relies on multidisciplinary planning and ethical clarity. Broader recognition of these procedures and standardized patient selection frameworks is critical to improving care equity and guiding future research in palliative surgical oncology.