Bone Sarcomas—Resection and Reconstruction

Abstract

Abstract
Limb salvage is currently the preferred method of treatment for over 90% of patients with primary bone sarcoma. Following resection of a primary bone sarcoma, the most common reconstructive methods include resection arthrodesis, rotationplasty, and segmental replacement with an endoprosthetic device, bulk osteoarticular allograft, or allograft–prosthetic composite (APC). The purpose of this article is to review the general outcomes, along with the relative advantages and disadvantages of each of these options. As chemotherapeutic regimens continue to improve, the future of limb salvage will focus on improving the longevity of current reconstructive techniques to match the concurrent progress in patient survival.

Keywords
Sarcoma, limb salvage, osteosarcoma, chondrosarcoma, Ewing’s sarcoma

Disclosure: The authors have no conflicts of interest to declare.
Received: April 15, 2009 Accepted: April 26, 2009
Correspondence: Adam J Schwartz, MD, Mayo Clinic Arizona, Department of Orthopedic Surgery, 5777 East Mayo Boulevard, Phoenix, AZ 85054. E: adamschwartz2001@yahoo.com