Contemporary surgical management of osteosarcoma and Ewing sarcoma

The incidence of malignant bone tumors has remained relatively stable over the past two decades between 8% and 9% per 1,000,000 in North America. Multidisciplinary treatment is paramount for optimal care combining surgical resection, chemotherapy, and rehabilitation. Surgical treatment aims for a ne...

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Published inPediatric blood & cancer p. e31374
Main Authors Callan, Alexandra K, Alexander, John H, Montgomery, Nicole I, Lindberg, Antoinette W, Scharschmidt, Thomas J, Binitie, Odion
Format Journal Article
LanguageEnglish
Published United States 15.10.2024
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Summary:The incidence of malignant bone tumors has remained relatively stable over the past two decades between 8% and 9% per 1,000,000 in North America. Multidisciplinary treatment is paramount for optimal care combining surgical resection, chemotherapy, and rehabilitation. Surgical treatment aims for a negative margin resection of the sarcoma with a personalized reconstruction plan. Limb salvage surgery (LSS) is possible in the majority of cases; however, amputation (including rotationplasty) may be required or preferred. Reconstruction can be achieved utilizing endoprostheses, allograft, autograft, or a combination of these techniques. Emerging technologies such as 3D printing of implants and cutting guides, and intraoperative navigation have helped to improve options for LSS.
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ISSN:1545-5009
1545-5017
1545-5017
DOI:10.1002/pbc.31374