Reconstruction Following Tumor Resections in Skeletally Immature PatientsLevin, Adam S. MD; Arkader, Alexandre MD; Morris, Carol D. MD, MSJournal of the American Academy of Orthopaedic Surgeons: March 2017 - Volume 25 - Issue 3 - p 204–213 doi: 10.5435/JAAOS-D-15-00619 Review Article Abstract Author Information Reconstruction options in children after bone tumor resection are as varied as they are challenging. Advances in biologic and endoprosthetic design have led to many choices, all of which must be considered in the context of prognosis, treatment limitations, and patient/family expectations. The current experience and results of limb-sparing surgery following bone sarcoma resection in growing children are discussed, including allograft, autograft, and metallic prostheses alone and in combination, especially as they pertain to the knee. In some cases, the ablative options of amputation and rotationplasty must be seen as equal and, at times, superior choices to limb salvage. From the Department of Orthopaedic Surgery (Dr. Levin) and the Department of Orthopaedic Oncology (Dr. Morris), John Hopkins Medicine, Baltimore, MD, and Children’s Hospital of Philadelphia and the Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (Dr. Arkader). Dr. Arkader or an immediate family member serves as an unpaid consultant to OrthoPediatrics. Dr. Morris or an immediate family member serves as a board member, owner, officer, or committee member of the American Academy of Orthopaedic Surgeons and the Musculoskeletal Tumor Society. Neither Dr. Levin nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article. Received October 28, 2015 Accepted April 09, 2016 © 2017 by American Academy of Orthopaedic Surgeons
