What does surgical treatment of bone tumors mainly include?

For malignant tumors, the priority should be to save lives. Only when the survival rate is not reduced can the issue of preserving limbs be considered. The commonly used surgical methods for the treatment of bone tumors are curettage, resection, amputation, and amputation.

Curettage is to cut open the bone wall containing the tumor and scrape out the tumor tissue. This operation is suitable for benign bone tumors, such as enchondroma, bone cyst, eosinophilic granuloma of bone and some giant cell tumors of bone. The cavity left after tumor curettage needs to be filled. Commonly used orthopedic filling materials include bone cement, autologous bone, allogeneic bone, artificial bone, etc. After filling, internal fixation such as steel plates and intramedullary nails are required to prevent fractures.

Resection in surgical treatment of bone tumors is a procedure that removes tumors that protrude out of the bone from their base, and is mainly applicable to osteochondromas.

Resection is to remove a section of the bone shaft or even the entire joint where the tumor is located. It is suitable for giant cell tumors of bone with a large destruction range and malignant tumors such as osteosarcoma, fibrosarcoma, chondrosarcoma, etc. Some defects left after the resection of the bone shaft do not need to be repaired, such as the proximal fibula and the distal ulna, but most of them need to be reconstructed with artificial prostheses, allogeneic bones or autologous bones.

The above is an introduction to the surgical treatment of bone tumors. The recurrence rate of limb-saving surgery for malignant tumors is high, which affects life. Or if the function of the retained limb is poor and cannot compare with a prosthesis, amputation can be chosen.

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