Limb-sparing surgery for bone tumors: New developments

Abstract

The standard for local control of malignant bone tumors has been amputation. During the last decade, limb‐sparing surgery has been common in the multidisciplinary management of bone sarcoma. Efforts continue toward improving local control of tumor while retaining the function of the reconstructed limb. Major challenges include defining adequate surgical margins and developing biologic and prosthetic reconstructions that match life expectancy. Our review highlights important refinements of earlier techniques, current innovations, and future directions in limb‐salvage surgery. Semin. Surg. Onc. 13:64–69. © 1997 Wiley‐Liss, Inc.

Prosthetic reconstruction for tumours of the distal tibia and fibula

“…As the surgery of limb salvage has developed, reconstruction has been attempted using autograft, allograft, implanted prostheses and composites. [1][2][3][4][5][6] When the ankle is involved, limb salvage presents unique difficulties both in terms of biomechanics and soft-tissue coverage. According to Casadei et al,3 arthrodesis is the best reconstructive procedure for the ankle in patients for whom operation for limb salvage is indicated.…”

Limb Salvage Surgery in Bone Tumors: A Single Institutional StudyK.M.I.O Experience

“…With the development of more effective chemotherapeutic agents and treatment protocols in the 1970s and 1980s, survival rates improved. This along with better imaging modalities, allowed the focus of management to shift to limb preservation [1][2][3] .…”

Limb Salvage Surgery in Bone Tumors: A Retrospective Study of 50 Cases in a Single Center

“…With the development of more effective chemotherapeutic agents and treatment protocols in the 1970s and 1980s, survival rates improved. This,along with better imaging modalities, allowed the focus of management to shift to limb preservation [1][2][3] Osteosarcoma is the commonest malignant bone tumor. [4] It accounted for 42 % of all bone tumors and 75 % of the malignant type in our series.…”