Orthopaedic Procedures in the Rehabilitation of Cancer Patients

  • R. Kotz
  • A. Azzarelli


In the past 10 years significant progress has been made in the management of malignant bone tumours, with improved functional results and patient survival. This fact is due to more experienced and defined conservative surgery, sophisticated endoprostheses and aggressive neoadjuvant multidrug chemotherapies. This chapter reports the current concepts and approaches widely accepted in major cancer orthopaedic institutes towards the diagnosis, treatment and rehabilitation of patients with malignant bone lesions and in particular those seen at the Orthopaedic University Clinic of Vienna and recorded in the Vienna Bone Tumor Registry (Kotz et al. 1984), which over the past 25 years has collected more than 3700 cases1 as well as those seen at the Istituto Nazionale Tumori of Milan. In a specialised institute an interdisciplinary team should evaluate each patient, taking into account histological diagnosis, location and extent of the disease and the expected and achieved effects of therapeutic procedures and functional results. Diagnosis, symptoms, physical examination and single X-ray may provide a first indication towards appropriate diagnosis. If a malignant bone tumour is suspected the roentgenographic diagnosis must be verified with further investigation, such as bone scan, CT scan, angiography and nuclear magnetic resonance (NMR).


Knee Joint Distal Femur Bloc Resection Limb Salvage Conservative Surgery 
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© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • R. Kotz
  • A. Azzarelli

There are no affiliations available

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