Abstract
IntroductionMalignant musculoskeletal tumors in children are mostly comprised of Osteosarcoma and Ewing's sarcoma and distal femur is the most common site for primary bone tumors. This study examined the surgical management outcomes of pediatric patients (<18 years) presented in our setup with malignant distal femur tumors.MethodologyWe retrospectively reviewed the medical records of patients diagnosed with malignant sarcomas of distal femur and younger than 18 years of age who underwent limb salvage surgery during June 2009–June2017.ResultsThere were 31 pediatric patients who had distal femur malignant tumors and out of them 20 patients were selected who underwent limb salvage as a primary surgery. The mean age (range) of patients was 11.90 (6–17) years. Seventeen had osteosarcoma and three had Ewing's sarcoma. In surgery all patients were offered reconstruction. Post-operative complications were observed in (50%) patients while other 50% patients had no complications. Wound infection, flap necrosis, broken plates with non-union and recurrence of disease were the reported complications. Revision surgery was performed in 10 patients out of 20 patients.ConclusionSalvage was the primary option in our surgery and revision surgery was performed in the cases due to complications. Small sample size was the limitation of the study.
Highlights
Malignant musculoskeletal tumors in children are mostly comprised of Osteosarcoma and Ewing's sarcoma and distal femur is the most common site for primary bone tumors
Pediatric patients suffer the maximum burden of primary bone tumors [1]
A retrospective cross sectional study was planned and the medical record files of all the patients diagnosed with malignant sarcomas of distal femur and younger than 18 years of age, who underwent limb salvage surgery in Aga University hospital during June 2009–June2017 were reviewed
Summary
Malignant musculoskeletal tumors in children are mostly comprised of Osteosarcoma and Ewing's sarcoma and distal femur is the most common site for primary bone tumors. Results: There were 31 pediatric patients who had distal femur malignant tumors and out of them 20 patients were selected who underwent limb salvage as a primary surgery. In the last 3 decades there was dramatic increase in the 5 year survival rates of these tumors, from 10% to over 70%, thanks to the combination of new chemotherapeutic agents, advanced reconstruction techniques and the affordable, effective and durable alternates at resource constrained country like ours [2]. This survival is long enough to justify the complex procedures in limb sparing surgery.
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