Dr F.Ali Janjua

12/10/2025

As an orthopaedic oncologist, my primary practice is treating patients suffering from bone tumors. However, the journey often doesn’t end once the cancer is cured — especially in children.

Survivors may later develop deformities as a consequence of tumor excision, growth disturbance, and altered biomechanics. This is where one must bring out the deformity surgeon within and be ready to apply challenging solutions such as the Ilizarov fixator.

This young girl had fibula excision for Ewing sarcoma in childhood. Over time, she developed angulation, shortening, and a rigid foot deformity. Through staged correction, we addressed her leg deformity, and most recently attempted correction of her complex rigid foot deformity with an Ilizarov frame.

Such cases remind us that limb salvage is not just about removing a tumor, but also about restoring function, balance, and quality of life in the long term.

14/09/2025

📌 Pediatric Limb Salvage with Liquid Nitrogen–Treated Bone

A busy month performing limb salvage surgeries in children using liquid nitrogen–treated autografts. This technique provides oncological safety while preserving bone biology and long-term function — a valuable option for childern suffering from Bone tumors.

09/08/2025

One week. 2 limb Salvages with Mega prosthesis. Extra Articular and Intra articular resections

04/07/2025

A 10-year-old male presented with left elbow pain and swelling for 4 months following a fall.

Biopsy confirmed a chondroblastic osteosarcoma. He received neoadjuvant chemotherapy, after which MRI showed an interval reduction in tumor size, with a soft tissue mass involving the proximal meta-diaphysis of the left ulna.

A wide margin excision of the proximal ulna was performed. The bone was recycled using liquid nitrogen.
Recycling of the bone led to fragmentation of the articular surface and olecranon, requiring reconstruction with subsequent fixation and reattachment of the remaining muscles.

07/06/2025

Abstract in Global Spine Journal

29/05/2025

Limb Salvage on a 6 years old female with Ewing sarcoma, localized - left femur
Pre Neoadjuvant chemotherapy tumor was crossing Physis which regressed post chemotherapy and spared the physis after which plan was made to salvage the limb with Bone recycling with Liquid Nitrogen. A PHILOS plate was used to engage the remaining epiphyseal region. Moving forward we will plan a Contralateral epiphysiodesis and limb lengthening as her treatment continues.

17/05/2025

Another day another leg saved. Limb salvage with distal femur mega prostheses

12/05/2025

16 year old female with Ewing sarcoma of Right femoral shaft

Completed VDC and IE

We performed limb savage with the help of recycled liquid nitrogen treated bone

15/09/2023

Cadaveric Workshop Certificate for Minimal Invasive Hip Surgery and Knee Replacement by Microport.

22/07/2023

Getting ready for Minimal Invasive Hip and Knee replacement Cadaveric workshop. With one of my Colleagues Dr Salah. and Anatomical Science Facility

19/07/2023

13/07/2023

Will be giving my talk on the Management of Distal Femur Extra Articular fractures :Nail vs Plate in the upcoming Orthopaedic trauma course at Aga Khan University Hospital, Karachi.