Extremity segment resection as a special type of surgical intervention in patients with malignant tumors

Abstract

A suigical intervention called extremity resection was developed. It consists in removal of the entire segment of the extremity (including bones, joints, muscles and skin) after preisolation tluoughout its extention of great vessels and nerves wlrich are preserved. With a tumor in the bones forming a knee joint, the operation ends with the application of the exterior fixation apparatus to achieve consolidation of the femur and the tibia. Then osteotomy is perfonned at one or two levels and the extremity is extended in the apparatus. A bone defect may be replaced by an endoprosthesis on the arm where shortening lesser affects the function after resection of an extremity segment with the ulnar joint. Eight patients with various malignant tumors were operated on in accordance with this procedure.

Keywords

limb segment resection / malignant tumors / osteotomy / endoprosthesis

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