Limb Salvage Surgery

An Overview

Limb Salvage Surgery is a specialized procedure designed to treat malignant tumors in the limbs while preserving their functionality and appearance. By removing only the affected bone and replacing it with a bone graft or implant, this surgery helps avoid amputation and significantly improves the quality of life for patients.

A multidisciplinary team of experienced surgeons, oncologists, and physiotherapists ensures a holistic approach, from diagnosis and treatment to recovery and rehabilitation.

What is Limb Salvage Surgery?

Limb Salvage Surgery, also known as Limb-Sparing Surgery, involves removing damaged or diseased bone in the arm or leg affected by a malignant tumor while preserving the limb. The removed bone is replaced with one of the following graft types:

Autograft: Bone taken from the patient’s body.
Allograft: Bone from another person.
Allo-Prosthetic Composite: A combination of bone graft and metal implant.

The surgery aims to maintain limb functionality, reduce complications, and retain its appearance.

Indicators for Limb Salvage Surgery

This surgery is commonly used to treat high-grade malignancies in the following areas:

Proximal humerus.
Scapula.
Clavicle.
Shoulder and its joints.
Rotator cuff or glenohumeral joint.
Periscapular soft tissue.

Conditions Treated with Limb Salvage Surgery

Limb Salvage Surgery is effective for various conditions, including:

Peripheral artery disease.
Traumatic injuries.
Diabetic foot disease.
Osteosarcoma.
Soft tissue sarcoma.
Bone resorption and fractures.
Impending fractures in limbs.
Limb fungation.
Malignant tumors of joints.

Preparation for Limb Salvage Surgery

Medical Evaluation: Share your medical history and current medications with the doctor.
Pre-Surgical Tests: Complete all recommended tests, including pre-anesthetic evaluations.
Support Arrangements: Bring a family member to accompany you on the day of surgery.
Mobility Aids: Arrange for crutches or a wheelchair if needed post-surgery.
Physiotherapy: Perform strengthening exercises as advised by a physiotherapist.

Precautions Before and After Surgery

Before Surgery

Avoid medications such as aspirin and NSAIDs a week prior.
Refrain from eating or drinking the night before surgery.
Abstain from alcohol consumption.

After Surgery

Attend regular follow-up visits with the surgeon.
Monitor for signs of infection, swelling, or pain and contact a healthcare provider if they occur.
Take prescribed medications as directed.
Follow physiotherapy exercises to regain strength and flexibility.

Potential Complications

While complications are rare and manageable with proper care, they may include:

Infection at the surgical site.
Pain, swelling, or redness.
Loosening, shifting, or breakage of implants.
Loss of blood flow or sensation in the limb.
Severe blood loss or anemia.

Conclusion

Limb Salvage Surgery provides an effective way to treat malignant tumors while preserving limb function and appearance. With proper preparation, precautions, and follow-up care, patients can achieve a good recovery and regain their quality of life.

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