Limb sparing surgery- This approach uses a wide local excision to save the limb by leaving adequate tissue around the bone. The area left behind by a large local excision is filled with a bone graft or an endoprosthesis (internal prosthesis). In the treatment of bone malignancies, this is the most common type of surgery. Rehabilitation programmes are essential for maintaining the best possible function of the limb after surgery.
Who is a prospect for limb-sparing surgery?
Patients with osteosarcoma, Ewing sarcoma, and other sarcomas are the most likely candidates for limb-saving surgery. However, this is frequently dependent on a number of other factors:
- The tumor's dimensions
- It's a case of metastasis.
- It’s location
If the tumour is too close to a muscle or nerve, however, limb-sparing surgery may not be possible.
Who really needs a limb-sparing operation?
Biopsies are taken before and after chemotherapy for patients with osteosarcoma, Ewing's sarcoma, and other sarcomas. This treatment is followed by surgery.
An MRI (magnetic resonance imaging) is performed to see if the tumour has shrunk as a result of the treatment.
A multidisciplinary team assists the patient with physiotherapy and rehabilitation therapy following surgery. Friends and family may also provide social and emotional support to a patient
Risks to Consider
Infection and shock are quite likely to occur.
- Amputation- This procedure involves removing all or part of the limb or arm in which the malignancy is found. Artificial prosthesis, on the other hand, is a possibility. In addition, advanced surgical approaches attempt to salvage as much of the cancerous limb as possible. Essential nerves, arteries, and muscles are also removed in this scenario.
- Other types of bone cancer surgery-Surgeons utilise a range of ways to remove malignancies from locations other than the tumor site. Curettage is a surgical treatment in which cancer cells are scraped off but not completely removed. Liquid nitrogen is injected into the tumor location and kills any remaining tumor cells. Bone grafts or cement are used to fill in the gaps left by surgery.
- Reconstructive surgery- Reconstructive surgery is a type of surgery that helps to reshape the body portion affected by surgery.
- Surgical treatment for metastases-Surgery for metastases is performed to remove cancer cells that have spread to the lungs or other organs. This form of surgery, on the other hand, is normally reserved for patients who have just minor metastases.