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How I Treat… Primary Bone Tumours
M. Farrell
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Although limb amputation is currently considered the gold standard for the local management of primary bone tumours, there are some circumstances in which limb sparing surgery can be considered. Selection criteria must be very strict and include:
The tumour must be clinically and radiographically confined to the limb and occupy < 50% of the bone
CT scan or MRI should be used to assess the degree of bone involvement
Pathological fracture is a contraindication due to contamination of the soft tissue envelope
The distal radius is the most amenable site for limb-sparing surgery. The following techniques have been described:
Cortical allograft
Pasteurised or irradiated autografts
Vascularised autograft
Endoprosthesis
Distraction osteogenesis ...
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Affiliation of the authors at the time of publication
Davies Veterinary Specialists, Manor Farm Business Park, Higham Gobion, SG5 3HR, UK
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