Limb Sparing Surgery

Abstract

BACKGROUND: Endoprosthetic reconstruction for bone tumor surgery was introduced in the 1970s. It has since evolved to be a successful and acceptable method of reconstruction and has become the gold standard of treatment. At present, 85% of patients will undergo limb salvage surgery with survival ranging from 60% to 90%. PURPOSE:The complexity of bone sarcomas and limb-sparing surgery is discussed beginning with the initial presentation of the sarcoma patient. Limb-sparing surgery is depicted from initial exposure and removal of the diseased bone, placement of endoprosthetic, and presentation of patient postoperatively. A graphical portrayal is given to outline a stepwise and multidisciplinary approach when treating bone tumor patients. The discussion also includes postoperative care following surgery. Key aspects of nursing care are outlined. Management of patients with bone tumors involves a multidisciplinary team experienced in diagnostics, chemotherapy, and surgery. The priorities for patient and family education are highlighted.