Orthopedic Oncology
Advanced Bone & Soft-Tissue Tumor Care —Limb-Salvage, Precision Reconstruction, Optimal Function.
Multidisciplinary sarcoma management, custom 3-D implants, and metastatic bone disease expertise.
We provide comprehensive musculoskeletal oncologic care—from image-guided biopsy and multidisciplinary tumor-board planning to complex resection, microvascular reconstruction, endoprosthetic or allograft reconstruction, and adjuvant therapy coordination. Advanced navigation, intra-operative imaging, and patient-specific 3-D guides ensure maximal tumor clearance with optimal function. Dedicated metastatic-bone-disease pathways integrate interventional radiology ablation, cementoplasty, and targeted systemic therapy.
Common Conditions & Subspecialty Clinics.
- Age-adapted chemotherapy regimens
- Expandable growing endoprostheses for limb preservation
- Combined damage-control orthopedics and oncologic alignment management
- Custom 3D-printed endoprostheses
- Allograft–prosthetic composites
- Rotationplasty for pediatric limb tumors
- Osteoid osteoma – radiofrequency ablation (RFA)
- Diagnosis and treatment of a wide range of eye conditions
- Desmoid tumor – conservative and medical therapy
- Pathologic fracture fixation
- Prophylactic intramedullary nailing
- Cementoplasty
- Planning for stereotactic body radiotherapy (SBRT)
- Liposarcoma
- Synovial sarcoma
- Undifferentiated pleomorphic sarcoma
- Wide local excision with negative margins and soft-tissue reconstruction
- Osteosarcoma
- Ewing sarcoma
- Chondrosarcoma
- Adamantinoma
- Neoadjuvant chemotherapy coordination and limb-salvage surgery
Procedures & Treatments.
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Molecular pathology (MDM2, EWSR1, SS18 translocations) for subtype confirmation
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Angiography/embolization for hypervascular tumors pre-resection
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High-resolution CT for cortical involvement and 3-D planning
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CT-guided core biopsy with on-site pathologist adequacy check
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Whole-body MRI and ¹⁸F-FDG PET-CT for metastasis assessment
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Pathologic Fracture Fixation—locking plates, intramedullary nails, modular stems
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Microvascular Free-Flap Soft-Tissue Coverage—ALT, latissimus, fibula
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Rotationplasty as function-preserving alternative to amputation
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Expandable Pediatric Endoprosthesis allowing growth without repeat surgery
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Allograft-Prosthetic Composite Reconstruction for joint preservation
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3-D-Printed Titanium Endoprostheses—pelvic, scapular, and long-bone replacements
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Computer-Navigated Tumor Resection with patient-specific cutting guides
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Bisphosphonate or RANK-Ligand inhibitor for skeletal-related-event prevention
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Denosumab for giant-cell tumor and bone-metastasis stabilization
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Radiofrequency/microwave ablation + cementoplasty for painful metastases
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IMRT/VMAT & SBRT for margin boost or unresectable lesions
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Neo-adjuvant & adjuvant chemotherapy per EURAMOS/COG protocols
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Psychosocial support and vocational reintegration services
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Cancer-rehab program—strength, gait training, lymphedema management
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Advanced prosthetics-and-orthotics lab for custom bracing/limb devices
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Early weight-bearing protocols with physiotherapy
Care Pathway & Coordination.
Rapid Referral & Imaging Review
Pathology & imaging reviewed within 48 h; core biopsy scheduled.
Sarcoma Tumor Board
Multidisciplinary plan: surgery, chemo, RT.
Pre-op Planning
3-D modeling, implant design, tissue-flap selection.
Definitive Surgery / Procedure
Limb-salvage resection & reconstruction.
Post-Op & Adjuvant Therapy
Chemotherapy / RT as per protocol; rehab initiation Day
Long-Term Surveillance
Imaging at 3-6-month intervals; survivorship clinic for prosthesis monitoring.
Technology & Facilities.
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CT-Based 3-D Printing Lab
Patient-specific cutting guides and implants
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Intra-operative Navigation & Augmented Reality for margin accuracy
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Hybrid OR with Cone-Beam CT
Real-time imaging during resection
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Modular Endoprosthesis Inventory
Immediate off-the-shelf options
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Multi-axis Isokinetic Strength Testing
Functional outcome tracking
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Gait-Analysis Lab
Motion capture to optimize rehabilitation
