Advances in Functional Reconstruction After Bony Sarcoma Resection

Management of patients with bony sarcoma requires a multidisciplinary approach that optimizes oncologic and functional outcomes.

With the advent of new orthopedic and plastic surgery techniques, limb salvage is becoming a more common treatment for bony sarcomas. Bony reconstruction has evolved to include allograft, alloplastic, autograft, and combined approaches. Soft tissue options for coverage and functional reconstruction have also expanded. When amputation is indicated, function and pain outcomes can be optimized.

Limb-sparing resection for bony sarcoma is an excellent option for most patients, thanks to advancements in oncologic and surgical treatment options. With preservation or reconstruction of vital soft tissues, reconstruction of bone defects often can be addressed with a prosthetic implant, allograft, autograft, or combination of techniques.