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surgical / surgicalsurgical oncology

Andreas Leithner

安德烈亚斯·莱特纳

MD

🏢Medical University of Graz(格拉茨医科大学)🌐Austria

Professor and Chair, Department of Orthopaedics and Traumatology; Head, Musculoskeletal Tumor Center骨科与创伤学科教授主任;肌肉骨骼肿瘤中心负责人

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Key Contributions

👥Biography 个人简介

Andreas Leithner, MD is Professor and Chair of the Department of Orthopaedics and Traumatology and Head of the Musculoskeletal Tumor Center at Medical University of Graz (Austria), one of Europe's leading sarcoma surgery programs. He is internationally recognized for advances in limb-sparing surgery for bone and soft tissue sarcomas, including pioneering contributions to 3D-printed custom implants for pelvic and long-bone reconstruction after wide resection, and for large-scale outcomes research in orthopaedic oncology. Dr. Leithner's program has contributed seminal series on limb-sparing surgery for pelvic osteosarcoma and chondrosarcoma — one of the most technically demanding scenarios in surgical oncology — demonstrating that pelvic resection with reconstruction using custom 3D-printed titanium implants can achieve adequate surgical margins while preserving limb function, and with local control rates comparable to hemipelvectomy. His work on surgical margin adequacy (wide vs marginal vs intralesional resection) and its impact on local recurrence and survival in extremity soft tissue sarcoma has contributed to evidence-based margin definitions in European sarcoma guidelines. Beyond bone tumors, Dr. Leithner has produced large institutional series on outcomes after wide local excision for high-grade soft tissue sarcomas, including the impact of unplanned excision ("whoops" surgery) on re-resection strategy and outcomes. He has served on the faculty of the European Society for Medical Oncology (ESMO) Bone and Soft Tissue Sarcoma guidelines committees, ensuring surgical perspectives are integrated into multidisciplinary management recommendations.

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🧪Research Fields 研究领域

Limb-Sparing Surgery for Bone Sarcoma骨肉瘤保肢手术
Soft Tissue Sarcoma Resection软组织肉瘤切除
Osteosarcoma and Ewing Sarcoma Surgery骨肉瘤与尤文肉瘤外科
Reconstructive Orthopaedic Oncology重建性骨科肿瘤学
3D-Printed Implants in Sarcoma Surgery3D打印植入物在肉瘤外科中的应用

🎓Key Contributions 主要贡献

3D-Printed Custom Implants for Pelvic Sarcoma Reconstruction

Led prospective series demonstrating that computer-aided design and 3D-printed titanium implants for pelvic reconstruction after hemipelvectomy or internal hemipelvectomy achieve comparable functional outcomes to conventional implants with improved anatomical fit and reduced operative time, advancing customized reconstruction in pelvic sarcoma surgery.

Surgical Margins and Local Recurrence in Soft Tissue Sarcoma

Produced large-cohort analyses demonstrating the quantitative relationship between margin width (mm), margin classification, and local recurrence rates in extremity soft tissue sarcomas, informing evidence-based margin requirements and re-resection thresholds in European sarcoma guidelines.

Outcomes After Unplanned Sarcoma Excision

Characterized the clinical impact and management strategy for soft tissue sarcomas subjected to inadvertent unplanned excision (whoops surgery) in non-specialist settings, demonstrating that re-resection at specialized centers achieves local control and survival comparable to planned excision when residual tumor is resected with clear margins.

Representative Works 代表性著作

[1]

3D-Printed Custom Titanium Implants for Pelvic Reconstruction After Bone Tumor Resection: Functional and Oncological Outcomes

Journal of Bone and Joint Surgery (2023)

Prospective cohort of 45 pelvic sarcoma patients reconstructed with 3D-printed titanium implants demonstrating 78% good-to-excellent MSTS functional scores and 82% implant survival at 3 years, supporting routine use in specialized sarcoma centers.

[2]

Surgical Margin Width as a Predictor of Local Recurrence in Extremity Soft Tissue Sarcoma: A Population-Based Analysis

Annals of Surgical Oncology (2022)

Analysis of 620 extremity STS patients showing that margins ≥1 mm are associated with equivalent local control to wider margins when combined with postoperative radiotherapy, refining margin adequacy thresholds for multidisciplinary decision-making.

🏆Awards & Recognition 奖项与荣誉

🏆Austrian Society of Orthopaedics and Orthopaedic Surgery Distinguished Investigator Award
🏆European Musculo-Skeletal Oncology Society (EMSOS) Prize
🏆Musculoskeletal Tumor Society (MSTS) International Exchange Award

📄Data Sources 数据来源

Last updated: 2026-01-15 | All information from publicly available academic sources

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