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Ortopædkirurgisk behandling af børn med sarkomer i bevægeapparatet

Anna Lynge Sørensen1, Peter Holmberg Jørgensen2, Birgitte Jul Kiil1 & Thomas Baad-Hansen2

1) Tumorsektoren, Ortopædkirurgisk Afdeling, Aarhus Universitetshospital  2) Plastikkirurgisk Afdeling, Aarhus Universitetshospital

Ugeskr Læger 2020;182:V07190408

Ugeskr Læger 2020;182:V07190408

Anna Lynge Sørensen, Peter Holmberg Jørgensen, Birgitte Jul Kiil & Thomas Baad-Hansen:

Orthopaedic treatment of malignant bone tumours in children

Ugeskr Læger 2020;182:V07190408

The treatment of malignant bone tumours in children has improved significantly over the past 50 years. Previously, the only curative treatment was amputation, but today the surgical treatment has changed towards limb salvage surgery. However, there is not consensus regarding choice of surgical procedure, and it is mainly based upon the surgeon’s previous experience. This review describes four reconstructive methods: rotationplasty, free vascularised fibula graft, bone transport and expandable endoprosthesis. All four methods are suitable surgical options with satisfactory functional outcome, though they vary in complications and revision rates.

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