By Nathan Mesko, MD and Joshua Lawrenz, MD
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Complete resection is the gold standard for minimizing the chance of local recurrence in primary bone sarcoma. Sometimes, in an effort to resect without leaving behind any tumor cells, large voids can be created, making functionality impossible without reconstruction. But bone and soft tissue tumors often present ways that make routine resection and reconstruction impossible. Creative thinking can improve the chances of limb salvage over an amputation alternative, and can determine long- and short-term reconstruction success.
These slides demonstrate the case of a 70-year-old gentleman who presented with four years of progressively worsening left thigh cramping, with no specific history of trauma. Just prior to presentation, his pain progressed to the point where he stated the leg “felt like it was going to break.”
Dr. Mesko is Director of the Musculoskeletal Tumor Center. Dr. Lawrenz is a resident in orthopaedic surgery.