Limb Reconstruction Surgeries for Tumour Conditions

Tumours can be malignant or benign. They can either originate in the bone itself, or they may spread to the bone from the other parts of the body. Diagnosing a tumour will involve blood tests, x-ray, and possibly a biopsy. When the tumour is found to be benign, unless it is causing a problem, the doctor may decide to just observe it. If it is found to be pressing on a nerve or blood vessel, then surgery to remove it may be suggested.

For malignancy, surgery is suggested either before or after chemotherapy. The exact procedure will differ from patient to patient depending on their condition. Earlier, if the tumour had spread badly, then amputation was being done. Now with the development in medical technology, it is possible to carry out extensive reconstruction procedures to save the limb.

Minimally Invasive Plate Osteosynthesis (MIPO)

Due to road traffic accidents, fractures might happen at three or more places in the bones (comminuted fracture). Treating this (while being minimally invasive) is done with a procedure called minimally invasive plate osteosynthesis. In a comminuted fracture, along with the breakage in bone, bone fragments may also be present. This makes treatment all the more difficult. To avoid the disadvantages that are present in more conventional treatment methods, MIPO is done to reduce the possibility of infection as well as malunion and non-union. The other advantages of MIPO include:

  • Reduction in the time taken for surgery
  • Loss of blood is minimized
  • Soft tissue harm is kept to a minimum
  • Reduction in swelling
  • Lesser recovery time

Debridement, Sequestrectomy, & Antibiotic Instillation

Debridement or sequestrectomy is done to accelerate healing in tissues in osteomyelitis. When a wound does not get better, removing the dead cells might start the healing process. Debridement reduces the possibility of infection and promotes growth of new, healthy cells. Debridement is done under anaesthesia, wherein the surgeon removes the dead tissue and (if need arises) puts a graft in place. When the procedure is done in conjunction with antibiotic instillation, the results are much better than when the procedure is done alone.

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