“…Although a single-stage procedure with resection and reconstruction is ideal, in an unpublished series of 12 children who had diaphyseal resection and reconstruction without induced membrane, a secondary operation was necessary for all patients: eight had secondary bone grafting, three were treated for mechanical complications, and three had infectious complications. Other potential disadvantages are limited bone to harvest in very young children and pain, prolonged limp, hematoma, and infection associated with graft harvesting [2,5]. The technique we presented is straightforward, the biologic reconstruction is separated in time from the tumor resection, and deleterious effects of chemotherapy agents on bone healing are avoided [13].…”