Dr. Srimanth B S

Lead Consultant - Orthopaedic Onco Surgery

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Reviewed by

Dr. Srimanth B S

Lead Consultant - Orthopaedic Onco Surgery

Manipal Hospitals, Old Airport Road

Limb Salvage Surgeries In Musculoskeletal Oncology

Reviewed by:

Dr. Srimanth B S

Posted On: Feb 06, 2024

blogs read 5 Min Read

Limb Salvage Surgeries in Musculoskeletal Oncology

Limb-preserving surgery for musculoskeletal cancers profoundly impacts patients' well-being, not only addressing the physical aspect by preserving the affected limb but also playing a crucial role in maintaining functional independence and psychological well-being. It goes beyond medical benefits, fostering normalcy, reducing emotional toll, and contributing significantly to holistic recovery.


Advanced Limb Preserving Techniques

Diverse limb-saving techniques tailored for musculoskeletal cancers now integrate advanced imaging and 3D design printing. These techniques include:

1. Limb Reconstruction 

Integration of advanced imaging has allowed better versions of both modular or custom-designed tumour prostheses, especially in critical zones like the paediatric and pelvic domains. Limb reconstruction has been revolutionised with the precision and customisation of prosthetic devices. High-resolution images of your affected limb areas allow doctors to do accurate analysis. This approach preserves more host bone, leading to better functional outcomes and fewer long-term sequelae. Additionally, such a process ensures minimal impacts on host bones. 

2. Biological Methods 

This involves incorporating recycling techniques such as allografts, autografts (e.g., fibula), irradiated bone, or cryotherapy. Here is a brief overview of each of these techniques.

Besides, the patient-specific 3D-printed plates enhance reconstruction, providing a personalised touch. 

3. Composite Reconstruction

Combining prosthetic and biological elements in critical zones improves reconstruction longevity and functional abilities, particularly for the younger population.

4. Limb Extension

Using techniques like Growing (expandable) Tumour Prosthesis and Distraction Osteogenesis to gradually lengthen bone, with the advantage of outpatient procedures and virtually scarless outcomes when advanced magnetic components are integrated. It is helpful in treating bone growth issues. This allows you to gather strength and flexibility and expand your range of motion.

Consult our cancer care hospital in Bangalore if you need a limb salvage procedure. 

Importance of Limb Salvage Surgeries for Musculoskeletal Cancers

The traditional method of amputation was pretty daunting. Being the foremost alternative, limb salvage surgeries can eliminate the previous complications. Several other benefits mark the importance of limb salvage surgeries.

  • Preservation of the natural mechanism of the limbs.

  • Limb reconstruction does not mentally affect the patient, which removal could.

  • The rehabilitation process is much easier.

  • Limb salvage surgeries also consider the cosmetic aspects.

These interventions ensure an increased success rate. They are not generalised anymore, so you can be sure of receiving a treatment plan based on your individual condition. 

Innovations in Limb Salvage Surgeries

The revolution in limb salvage surgeries is marked by advanced imaging techniques, such as MRI, CT & PET-CT scans, facilitating precise 3D tumour images. This guides accurate resections, provides specific instrumentation, and plays a pivotal role in designing custom prosthetics. Intraoperative navigation has also enhanced outcomes in pelvis, spine, and sacrum surgeries.

The integration of 3D printing technology in reconstruction enhances precision and personalisation. Custom-designed tumour prostheses, intricately mapped based on the patient's unique anatomy, ensure a better fit and improved functional and aesthetic outcomes. The marriage of advanced imaging and 3D printing signifies a significant leap toward optimising outcomes and seamlessly integrating prosthetics into the patient's recovery journey. These diverse approaches underscore the nuanced and comprehensive strategy in cancer treatment and rehabilitation.

Virtual reality to augment precision oncological clearance and replicate anatomical reconstruction is also being explored. The visualisation of the anatomy assists the doctors in planning your surgery accordingly. It helps them detect the actual affected area precisely. For accurate replacement, they can analyse the tumour localisation and volume, along with blood vessels, nerves, lymph nodes, and surrounding tissues. 

Consult our ortho onco surgeon if you need limb salvage surgery in Bangalore.


The advanced imaging technologies, precise surgical techniques, and patient-centric nature have contributed to the overall success of limb surgeries. They ensure adequate tumour resection, preserve healthier tissues and promote enhanced functional outcomes. 

It enhances precision and customisation by providing images of individual patients' anatomy. This allows surgeons to make specific implants and prosthetics. 

The postoperative rehabilitation of limb salvage surgeries is way more effective and quicker than amputation. This procedure incorporates both cosmetic and natural biological anatomy of the patient, promoting faster recovery time and mobility. 

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