DOI: 10.36347/sjams.2021.v09i05.003

Pages: 640-642

Background: Lower Limb salvage represents a challenge for orthopedic surgeons through a procedure designed to remove bony and soft tissue Tumors without amputation. The primary goal is to restore and maintain stability and functional capability as much as possible. Purpose: Examining the results of lower limb salvage procedures using Endoprosthesis and biological reconstruction. Methodology: we retrospectively analyzed 30 patients that had underwent lower limb salvage procedures by using Endoprosthesis and biological reconstruction procedures between 2011 – 2021 to study the post-operative follow up (ranged from 3 Months – 10 years). The patients were examined for complications, oncological and functional outcomes. The Tumors included 12 patients with distal Femur osteosarcoma, 6 patients with Proximal Tibia osteosarcoma, 6 patients with distal Femur Ewing sarcoma, 2 patients with Distal Femur chondrosarcoma, 1 patient with proximal Femur chondrosarcoma, 2 patients with distal Femur Giant Cell Tumor, 1 patient with Proximal Femur Metastasis. Results: Local recurrences occurred in two cases and systemic metastasis in seven patients. 12 patients died and 18 remained disease free. Diagnosis Numbers distal Femur osteosarcoma 12 patients Proximal Tibia osteosarcoma 6 patients distal Femur Ewing sarcoma 6 patients Distal Femur chondrosarcoma 2 patients proximal Femur chondrosarcoma 1 patient Distal Femur Giant Cell Tumor 2patients Proximal Femur Metastasis. 1 patient The 5 year Kaplan-Meier survival rate was 44.6%. The Average Musculoskeletal Tumor society (MSTS) Functional score was 60% in all patients. Conclusion: Lower Limb Salvage Procedures using Endoprosthesis and biological reconstruction techniques improved the oncological and functional outcomes.