Various limb-saving operations in children with primary malignant tumors of long bones

Abstract

Treatment results of 83 children, aged 5-15, with primary malignant tumors of long bones are analysed. Efficacy of combined and selective pre- and postoperative chemotherapy are shown. Criteria of conservative treatment subjective and objective evaluation are determined as a factor to perform limb-saving operation. In children over 12 the tumor removal and hip/knee total joint replacement has been carried out simultaneously. Three types of limb-saving operations, i.e. free bone autoplasty, Ganas operation and bone microsurgical autoplasty are described. These operations can be performed in children of any aged group. Adverse reactions and complications are presented. All positions are confirmed by clinical observations.