Pediatric Bone Sarcomas: Epiphysiolysis before excision addresses malignant bone tumours by focusing upon physeal distraction (epiphysiolysis) before excision. This technique has long been used by the authors of this book in preserving the joint in metaphyseal bone tumours in children. They are subsequently now sharing their knowledge and experience with all those in the field of orthopedic surgery.
In the last 30 years, the outcome for patients affected by malignant bone tumours has improved dramatically. Better knowledge of the disease, improved imaging methods, new surgical techniques and particularly the advent of chemotherapy have brought about increasing success in this field.
Preserving the life of these patients 30 years ago was the only aim of physicians. Now, survival rates have increased and the new challenges posed to the surgeon are on preserving the limb and its function, whilst avoiding complications. 30 years ago joint preservation close to the bone tumour was unheard of. More recently, this is a desire and possible outcome common to everyone who treats these patients.
Targeted primarily towards orthopedic surgeons and pediatric oncologists this book will also be of interest to all those in the fields of orthopedics, oncology, pediatrics and surgery.
Written for: Orthopedic surgeons dealing with bone tumours, pediatric oncologists;tumour societies (AMSTS, EMSOS, CTOS, ISOLS, ASCO, Asia Pacific Tumor societies...); national and international orthopedics societies (SECOT, French, British German, Japanish, EFORT, AAOS...) and pediatric societies (SEOP, SIOP, etc)
Table of contents
Treatment of pediatric bone sarcomas.- Molecular biology of pediatric bone sarcomas.- Surgical options for limb salvage in immature patients with extremity sarcoma.- Location of sarcomas within the bone. The growth plate.- Location of malignant bone tumors.- Historical histologic study about the barrier effect of the physis against metaphyseal osteosarcoma.- Growth plate involvement in malignant bone tumors: Relationship between imaging methods and histological findings.- Imaging-based indications for resection with epiphyseal preservation.- Removal of metaphyseal malignant bone tumors in children with preservation of the epiphysis. Epiphysiolysis before excision.- Clinical results. - Control of disease Histological study of margins.- Other techniques for epiphyseal preservation (intraepiphyseal osteotomy).- Advantages of epiphysiolysis before excision.- Questions and answers.