Abstract
The resection of musculoskeletal tumours often makes reconstruction of the resected bone structure necessary. There are both autologous and allogenous options as well as prosthetic bone substitutes for reconstruction of the created bone defect. In cases with sufficient residual stability a boney reconstruction may not be necessary and a temporary modification of load-bearing or immobilisation will give satisfactory results. Spongey bone, tricortical bone chips, or vascular pedicled bone grafts (clavicle, fibula) can be used as autogenous grafts. Callus distraction by means of segment transport is suitable as a secondary reconstruction option for hollow bones. The use of allogenous grafts is accompanied by a high rate of complications and is rarely employed. The reversal plasty according to Borggreve offers a further option for reconstruction in cases of tumours of the femur or, respectively, the proximal lower leg. Bones that are merely temporarily weakened can be stabilised with the help of a temporary osteosynthesis.
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