Tumor Surgery

ortopedi-16-2-2024-kapak-1

Mehmet Bartu SARISÖZENa , Cenk ERMUTLUa

aBursa Uludağ University Faculty of Medicine, Department of Orthopedics and Traumatology, Bursa, Türkiye

ABSTRACT
Complications may arise in any stage of treatment of musculoskeletal tumors, even before initial diagnosis. The first clinical manifestation of a lesion may be a complication such as a pathological fracture. In addition to general complications encountered in the treatment of adult patients, children are prone to additional complications due to remaining growth. Tumors may cause growth disturbance or deformity by destruction of the physis, altered biomechanics and metabolic activity. With the advances in chemotherapy and implant technology, wide resection and reconstruction has replaced amputation whenever possible. Resection of large bone segments or sacrifice of growth plate during surgery will also result in limb length discrepancy, which will be progressive in a child with growth remaining. Several options are available for reconstruction and growth disturbance. However, these procedures also have implant related complications that may cause delayed healing or repeating surgeries.
Keywords: Complications; fractures, bone; osteogenesis, distraction; neoplasms

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