Skip to main content

Reconstructive Surgery for Bone Tumors

  • Chapter
  • First Online:
The Surgery of Childhood Tumors

Abstract

Reconstruction following resection of a malignant bone, tumor should enable the child to lead as normal a life as possible. Concerns about reconstruction should not detract from the primary aim of surgery, which is that of local disease control. This means removing the tumour completely and not exposing the child to the risk of local recurrence. Amputation may be required. A good amputation may result in better function in the long term than poorly thought-out limb reconstruction. This chapter examines recent advances in surgical techniques and explores reconstructive options other than endoprosthetic replacement, which is covered elsewhere. Amputations and rotationplasty are also discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Cho HS, Oh JH, Han I, Kim HS. The outcomes of navigation-assisted bone tumour surgery: minimum three-year follow-up. J Bone Joint Surg Br. 2012;94(10):1414–20.

    Article  CAS  PubMed  Google Scholar 

  2. Henderson ER, Groundland JSPT, Pala E, Dennis JA, Wooten R, Cheong D, et al. Failure mode classification for tumor endoprostheses: retrospective review of five institutions and a literature review. J Bone Joint Surg Am. 2011;93(5):418–29.

    Article  PubMed  Google Scholar 

  3. Betz M, Dumont CE, Fuchs B, Exner GU. Physeal distraction for joint preservation in malignant metaphyseal bone tumors in children. Clin Orthop Relat Res. 2012;470(6):1749–54.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Tsuchiya H, Shirai T, Morsy AF, Sakayama K, Wada T, Kusuzaki K, et al. Safety of external fixation during postoperative chemotherapy. J Bone Joint Surg Br. 2008;90(7):924–8.

    Article  CAS  PubMed  Google Scholar 

  5. Innocenti M, Delcroix L, Manfrini M, Ceruso M, Capanna R. Vascularized proximal fibular epiphyseal transfer for distal radial reconstruction. J Bone Joint Surg Am. 2005;87 Suppl 1(Pt 2):237–46.

    Google Scholar 

  6. Muramatsu K, Ihara K, Hashimoto T, Seto S, Taguchi T. Combined use of free vascularised bone graft and extracorporeally-irradiated autograft for the reconstruction of massive bone defects after resection of malignant tumour. J Plast Reconstr Aesthet Surg. 2007;60(9):1013–8.

    Article  PubMed  Google Scholar 

  7. Uyttendaele D, De Schryver A, Claessens H, Roels H, Berkvens P, Mondelaers W. Limb conservation in primary bone tumours by resection, extracorporeal irradiation and re-implantation. J Bone Joint Surg Br. 1988;70(3):348–53.

    CAS  PubMed  Google Scholar 

  8. Poffyn B, Sys G, Mulliez A, Van Maele G, Van Hoorebeke L, Forsyth R, et al. Extracorporeally irradiated autografts for the treatment of bone tumours: tips and tricks. Int Orthop. 2011;35(6):889–95.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Chen TH, Chen WM, Huang CK. Reconstruction after intercalary resection of malignant bone tumours. J Bone Joint Surg Br. 2005;87-B(5):704–9.

    Article  Google Scholar 

  10. Krieg AH, Mani M, Speth BM, Stalley PD. Extracorporeal irradiation for pelvic reconstruction in Ewing’s sarcoma. J Bone Joint Surg Br. 2009;91-B(3):395–400.

    Article  Google Scholar 

  11. Mottard S, Grimer RJ, Abudu A, Carter SR, Tillman RM, Jeys L, et al. Biological reconstruction after excision, irradiation and reimplantation of diaphyseal tibial tumours using an ipsilateral vascularised fibular graft. J Bone Joint Surg Br. 2012;94B(9):1282–7.

    Article  Google Scholar 

  12. Anagnostakos K, Schroder K. Antibiotic-impregnated bone grafts in orthopaedic and trauma surgery: a systematic review of the literature. Int J Biomater. 2012;2012:538061.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Nagarajan R, Kamruzzaman A, Ness KK, Marchese VG, Sklar C, Mertens A, et al. Twenty years of follow-up of survivors of childhood osteosarcoma: a report from the Childhood Cancer Survivor Study. Cancer. 2011;117(3):625–34.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Aksnes LH, Bauer HC, Jebsen NL, Follerås G, Allert C, Haugen GS, Hall KS. Limb-sparing surgery preserves more function than amputation: a Scandinavian sarcoma group study of 118 patients. J Bone Joint Surg Br. 2008;90(6):786–94.

    Article  CAS  PubMed  Google Scholar 

  15. Eiser C. Assessment of health-related quality of life after bone cancer in young people: easier said than done. Eur J Cancer. 2009;45(10):1744–7.

    Article  PubMed  Google Scholar 

  16. Reulen R, Winter D, Lancashire E, Zeegers M, Jenney M, Walters S. Health-status of adult survivors of childhood cancer: a large-scale population-based study from the British Childhood Cancer Survivor Study. Int J Cancer. 2007;121:633–40.

    Article  CAS  PubMed  Google Scholar 

  17. Clerici CA, Ferrari A, Luksch R, Casanova M, Massimino M, Cefalo G, et al. Clinical experience with psychological aspects in pediatric patients amputated for malignancies. Tumori. 2004;90(4):399–404.

    PubMed  Google Scholar 

  18. Davids J, Meyer L, Blackhurst D. Operative treatment of bone overgrowth in children who have an acquired or congenital amputation. J Bone Joint Surg Am. 1995;77-A(10):1490–7.

    Google Scholar 

  19. Abraham E, Pellicore RJ, Hamilton RC, Hallman BW, Ghosh L. Stump overgrowth in juvenile amputees. J Pediatr Orthop. 1986;6(1):66–71.

    Article  CAS  PubMed  Google Scholar 

  20. Tenholder M, Davids JR, Gruber HE, Blackhurst DW. Surgical management of juvenile amputation overgrowth with a synthetic cap. J Pediatr Orthop. 2004;24(2):218–26.

    Article  PubMed  Google Scholar 

  21. Firth GB, Masquijo JJ, Kontio K. Transtibial Ertl amputation for children and adolescents: a case series and literature review. J Child Orthop. 2011;5(5):357–62.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Mayerson JL. Living with rotationplasty – quality of life in rotationplasty patients from childhood to adulthood. J Surg Oncol. 2012;105(8):743–4.

    Article  PubMed  Google Scholar 

  23. Rodl RW, Pohlmann U, Gosheger G, Lindner NJ, Winkelmann W. Rotationplasty – quality of life after 10 years in 22 patients. Acta Orthop Scand. 2002;73(1):85–8.

    Article  PubMed  Google Scholar 

  24. Forni C, Gaudenzi N, Zoli M, Manfrini M, Benedetti MG, Pignotti E, et al. Living with rotationplasty – quality of life in rotationplasty patients from childhood to adulthood. J Surg Oncol. 2012;105(4):331–6.

    Article  PubMed  Google Scholar 

  25. Veenstra KM, Sprangers MA, van der Eyken JW, Taminiau AH. Quality of life in survivors with a Van Ness-Borggreve rotationplasty after bone tumour resection. J Surg Oncol. 2000;73(4):192–7.

    Article  CAS  PubMed  Google Scholar 

  26. Hillmann A, Weist R, Fromme A, Volker K, Rosenbaum D. Sports activities and endurance capacity of bone tumor patients after rotationplasty. Arch Phys Med Rehabil. 2007;88(7):885–90.

    Article  PubMed  Google Scholar 

  27. Bekkering WP, Vliet Vlieland TPM, Koopman HM, Schaap GR, Bart Schreuder HW, Beishuizen A, et al. Functional ability and physical activity in children and young adults after limb-salvage or ablative surgery for lower extremity bone tumors. J Surg Oncol. 2011;103(3):276–82.

    Article  PubMed  Google Scholar 

  28. Gupta SK, Alassaf N, Harrop AR, Kiefer GN. Principles of rotationplasty. J Am Acad Orthop Surg. 2012;20(10):657–67.

    PubMed  Google Scholar 

  29. Winkelmann W. Rotationplasty. Orthop Clin North Am. 1996;27(3):503–23.

    CAS  PubMed  Google Scholar 

  30. Kenan S, Lewis M, Peabody T. Special considerations for growing children. In: Simon M, Springfield D, editors. Surgery for bone and soft tissue tumours. Philadelphia: Lippincott-Raven; 1998. p. 245–63.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roderick D. D. Duncan MB, ChB, FRCSEdOrth .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Duncan, R.D.D. (2016). Reconstructive Surgery for Bone Tumors. In: Carachi, R., Grosfeld, J. (eds) The Surgery of Childhood Tumors. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48590-3_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-48590-3_30

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48588-0

  • Online ISBN: 978-3-662-48590-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics