“…Surgical options for patients at this very early age include amputation, rotationplasty [6,13,26], or tumor resection followed by some type of reconstruction: expandable prosthesis [1,3,8,14,22,23,27], distraction osteogenesis [11], autologous grafts [11], or allografts [2,5,7,15,16,19,24,25]. Although amputation is still an option in those patients with extensive sarcoma and who are nonresponsive to chemotherapy, cosmetic, emotional, and functional limitations are obvious [28].…”