J Korean Bone Joint Tumor Soc.  2014 Jun;20(1):36-40. 10.5292/jkbjts.2014.20.1.36.

Non Blood Transfusion Limb Salvage Operation in the Distal Femur Osteosarcoma Patient: A Case Report

• Park JH
• Park SY
• Lee DH
• Hwang YG
• Lee HM

• KMID: 1707764
• DOI: http://doi.org/10.5292/jkbjts.2014.20.1.36

Abstract

Limb salvage operations for osteosarcoma of the extremity usually consist of wide excision and skeletal reconstruction. Most osteosarcoma patients are anemic prior to the surgery as majority of them undergo preoperative neo-adjuvant chemotherapy; thus, it is necessary to treat anemia before and after the surgery since limb salvage operation tends to accompany significant blood loss. Despite the fact that blood transfusion has bad influence on prognosis, complication, and postoperative outcome of cancer patients, it is still considered as a standard management to fix anemia for limb salvage operations. We would like to present a case report in which the authors succeeded in performing limb salvage operations on patients with distal femur osteosarcoma without transfusion.

Keyword

non blood transfusion; osteosarcoma; limb salvage operation

MeSH Terms

Anemia
Blood Transfusion*
Drug Therapy
Extremities
Femur*
Humans
Limb Salvage*
Osteosarcoma*
Prognosis

Figure

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  Figure 1. Plain radiographs show an osteolytic lesion over the left distal femur and break in the medial cortex. (A) AP view. (B) Lateral view.

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  Figure 2. The limb salvage operation was done using the tumor prosthesis. (A) AP view. (B) Lateral view.

Reference

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