Current review of surgical management options for extremity bone sarcomas

Modern surgical management of extremity bone sarcomas is governed by limb-sparing surgery combined with adjuvant and neoadjuvant chemotherapy.All the resection and reconstruction techniques have to achieve oncologic excision margins, with survival rates and functional results superior to amputation....

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Bibliographic Details
Published in:EFORT Open Reviews 2019-05, Vol.4 (5), p.174-182
Main Authors: Cirstoiu, Catalin, Cretu, Bogdan, Serban, Bogdan, Panti, Zsombor, Nica, Mihai
Format: Article
Language:English
Subjects:
Amputation
Arthrodesis
Bone cancer
Bone grafts
Bone Sarcoma
Bone surgery
Bone tumors
Chemotherapy
Modular Endoprostheses
Oncology
Reconstruction
Sarcoma
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Summary:Modern surgical management of extremity bone sarcomas is governed by limb-sparing surgery combined with adjuvant and neoadjuvant chemotherapy.All the resection and reconstruction techniques have to achieve oncologic excision margins, with survival rates and functional results superior to amputation.The main reconstruction techniques of bone defects resulted after resection are: modular endoprosthetic reconstruction; bone graft reconstruction; bone transport; resection arthrodesis; and rotationplasty.Oncologic resection and modular endoprosthetic reconstruction are the generally approved surgical options adopted for the majority of cases in major specialized bone sarcoma centres.Good basic principles, efficient multidisciplinary approach and sustained research in the field can provide a better future for the challenge posed by extremity bone sarcoma treatment. Cite this article: 2019;4:174-182. DOI: 10.1302/2058-5241.4.180048.
ISSN:2058-5241
2396-7544
2058-5241
DOI:10.1302/2058-5241.4.180048