Re-implantation of Sterilised Tumour Bone by Extra Corporeal Radiotherapy
With the use of potent chemotherapeutic drugs, newer imaging modalities and improved surgical techniques, limb-preserving surgeries for malignant bone tumours have become the norm. Endoprosthetic replacement is the commonest method used to bridge the bone defect after tumour resection. Such resection commonly involves resection of the growth physis across the joint leading to limb length disparity as the child grows. To overcome this, one will have to use a growing prosthesis which can be lengthened post-operatively, either by invasive or non-invasive techniques to compensate for the growth of the normal limb. These implants are expensive and are not affordable to the majority of patients who undergo limb salvage surgery in our country.