Orthopaedic Oncology & Limb Salvage

Bone tumour surgery is performed to remove a tumour from the bone while preserving as much healthy bone, joint, muscle, and nerve function as possible. The exact procedure depends on the tumour type, size, location, and whether it is benign or malignant.

Limb salvage is a surgical approach used to remove a bone or soft-tissue tumour while preserving the affected arm or leg, avoiding amputation when it is medically and oncologically safe to do so.

The primary goal is to remove the tumour with an adequate margin of healthy tissue. Limb preservation is considered only when the tumour can be safely removed without compromising cancer control.

It may be possible when the tumour can be removed completely and the major nerves and blood vessels can either be preserved or safely reconstructed. Advanced imaging and biopsy results help the surgical team determine whether limb salvage is appropriate.

Amputation may be recommended when the tumour extensively involves critical nerves or blood vessels, causes severe tissue destruction or infection, or cannot be removed safely while achieving adequate cancer control.

Evaluation may include X-rays, MRI or CT scans, chest imaging, blood tests, and—most importantly—a properly planned biopsy to determine the exact tumour type and grade. Additional scans may be required to check whether the tumour has spread.

Yes. Depending on the location and size of the bone defect, reconstruction may involve a metal endoprosthesis, bone graft, allograft, custom implant, or other reconstructive technique.

Many patients regain useful function, but recovery varies considerably. It depends on the tumour location, reconstruction, muscle and nerve involvement, and rehabilitation. Some patients may require physiotherapy and temporary or permanent walking support.

Recovery varies according to the operation and reconstruction performed. Hospitalization may range from several days to longer periods, while functional rehabilitation can continue for months.

t depends on the tumour diagnosis. Some malignant bone tumours are treated with chemotherapy before and/or after surgery, while radiotherapy may be appropriate for selected tumours or specific clinical situations.

There is a possibility of local recurrence or spread to other parts of the body, depending on the tumour type and stage. Regular follow-up with imaging and clinical examinations is therefore important.

Potential complications include infection, bleeding, blood clots, nerve or blood-vessel injury, wound problems, implant failure or loosening, fracture, stiffness, and the possibility of further surgery. Your surgeon will discuss risks specific to your case.

Yes. Children with bone tumours may be candidates for specialised limb-salvage procedures. Because children are still growing, reconstruction may require specialised techniques designed to accommodate future growth.

Seek evaluation from a specialist centre experienced in orthopaedic oncology and limb-salvage surgery. Bring your biopsy report, pathology slides/blocks if available, X-rays, MRI/CT scans, and previous medical records for review.