Recent Advances in Limb-Sparing Surgery
C. P. BEAUCHAMP, MD, FRCS(C)*
Tremendous advances have been made in the treatment of bone and soft tissue neoplasms. Advances have been made possible with technical developments in imaging and histologic evaluation. Paralleling these improvements has been the development of new surgical procedures and prostheses to make limb-sparing surgery a possibility. Several specific surgical procedures and techniques are discussed in reference to limb-sparing procedures about the knee and shoulder. Many procedures are possible with a combination of chemotherapy, radiotherapy, bone transplantation and prosthetic devices. Many individuals, like patients with amputations, do not have a normal limb. Psychological and emotional aspects of surgical procedures are presented.
*Department of Orthopaedics, 910 West 10th Avenue, Vancouver, British Columbia V5Z 4E3