04/03/2026
𝐓𝐮𝐦𝐨𝐮𝐫𝐬 𝐝𝐨𝐧’𝐭 𝐫𝐞𝐚𝐝 𝐭𝐞𝐱𝐭𝐛𝐨𝐨𝐤𝐬.
𝐄𝐯𝐞𝐫𝐲 𝐜𝐚𝐬𝐞 𝐰𝐫𝐢𝐭𝐞𝐬 𝐢𝐭𝐬 𝐨𝐰𝐧 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐩𝐥𝐚𝐧.
Last week brought two distal femur osteosarcoma cases — similar on paper, very different in theatre.
🦴 𝐂𝐚𝐬𝐞 𝟏 — 𝐋𝐨𝐰-𝐠𝐫𝐚𝐝𝐞 𝐨𝐬𝐭𝐞𝐨𝐬𝐚𝐫𝐜𝐨𝐦𝐚
Margins well defined. Anatomy preserved.
A straightforward oncological resection with standard endoprosthetic reconstruction
🦾 𝐂𝐚𝐬𝐞 𝟐 — 𝐂𝐨𝐧𝐯𝐞𝐧𝐭𝐢𝐨𝐧𝐚𝐥, 𝐡𝐢𝐠𝐡-𝐠𝐫𝐚𝐝𝐞 𝐨𝐬𝐭𝐞𝐨𝐬𝐚𝐫𝐜𝐨𝐦𝐚
Extensive local disease with vascular abutment.
Here the safe margins required quadriceps tendon excision enbloc with the tumor, followed by;
➡️ 𝐏𝐞𝐝𝐢𝐜𝐥𝐞𝐝 𝐟𝐫𝐞𝐞𝐳𝐢𝐧𝐠 𝐨𝐟 𝐭𝐡𝐞 𝐭𝐞𝐧𝐝𝐨𝐧
➡️ 𝐄𝐱𝐭𝐞𝐧𝐬𝐨𝐫 𝐦𝐞𝐜𝐡𝐚𝐧𝐢𝐬𝐦 𝐫𝐞𝐜𝐨𝐧𝐬𝐭𝐫𝐮𝐜𝐭𝐢𝐨𝐧 𝐰𝐢𝐭𝐡 𝐬𝐞𝐦𝐢𝐭𝐞𝐧𝐝𝐢𝐧𝐨𝐬𝐮𝐬 𝐫𝐞𝐢𝐧𝐟𝐨𝐫𝐜𝐞𝐦𝐞𝐧𝐭 𝐚𝐧𝐝 𝐚𝐧𝐭𝐞𝐫𝐢𝐨𝐫 𝐬𝐚𝐫𝐭𝐨𝐫𝐢𝐮𝐬 𝐭𝐫𝐚𝐧𝐬𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧
➡️ 𝐄𝐧𝐝𝐨𝐩𝐫𝐨𝐬𝐭𝐡𝐞𝐭𝐢𝐜 𝐫𝐞𝐜𝐨𝐧𝐬𝐭𝐫𝐮𝐜𝐭𝐢𝐨𝐧
⚖️ 𝐓𝐡𝐞 𝐩𝐫𝐢𝐧𝐜𝐢𝐩𝐥𝐞 𝐢𝐧 𝐨𝐫𝐭𝐡𝐨𝐩𝐞𝐝𝐢𝐜 𝐨𝐧𝐜𝐨𝐥𝐨𝐠𝐲 𝐫𝐞𝐦𝐚𝐢𝐧𝐬 𝐚𝐛𝐬𝐨𝐥𝐮𝐭𝐞: 𝐦𝐚𝐫𝐠𝐢𝐧𝐬 𝐟𝐢𝐫𝐬𝐭 — 𝐫𝐞𝐜𝐨𝐧𝐬𝐭𝐫𝐮𝐜𝐭𝐢𝐨𝐧 𝐚𝐝𝐚𝐩𝐭𝐬.