Decision Making for Skeletal Reconstruction Options in the Growing Child

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Abstract

There are numerous options for limb salvage surgery in the growing child following resection of tumor. Despite advances in endoprosthetic and allograft reconstruction, each option presents unique challenges and sequela. A thorough understanding of the potential complications and need for future surgeries is of paramount importance in preoperative physician-family decision making. Disease-specific and patient-specific factors help facilitate the surgical choice. While pediatric patients have excellent healing potential and plasticity, final limb-length discrepancies must be considered. The surgical choice should provide a functional and durable reconstruction that limits limb-length inequality. Within this article, the decision-making process and results of reconstruction with allograft, endoprostheses, and rotationplasty are reviewed.

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