Limb-sparing surgery in skeletally immature patients with osteosarcoma. The use of an expandable prosthesis.
Limb-sparing surgery has a definite role in the treatment of osteosarcoma in children. Increased survival, however, raises problems of limb-length discrepancy and prosthetic longevity. The concept of an expandable adjustable prosthesis addresses the problem of leg-length discrepancy. The problem of prosthesis longevity will require further long-term evaluation of current designs and methods of fixation, as well as the development of a permanent prosthesis or biologic replacement. At skeletal maturity, the expandable prosthesis may either be maintained or substituted with another implant or biological alternative if warranted by the clinical situation.
Kenan
S
S
Department of Orthopaedics, Mount Sinai Medical Center, New York, New York 10029.
Bloom
N
N
Lewis
M M
MM
D000293:Adolescent; D001852:Bone Lengthening / Q000295:instrumentation* / Q000379:methods / Q000592:standards; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012516:Osteosarcoma / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D010027:Osteotomy / Q000534:rehabilitation* / Q000592:standards; D011183:Postoperative Complications / Q000453:epidemiology; D019736:Prostheses and Implants / Q000592:standards*; D011859:Radiography; D016059:Range of Motion, Articular; D015996:Survival Rate