Short Term Outcomes of Tumor Resection and Reconstruction by Megaprosthesis Around Knee: An Analysis with Review of Literature

Vol 42 | Issue 1 | January-June 2021 | page: 34-36 | Bikram K Kar, Mukund M. Ojha, Sandeep Kumar Yadav, Alok Chandra Agrawal, Harshal Sakale

Authors: Bikram K Kar [1], Mukund M. Ojha [1], Sandeep Kumar Yadav [1], Alok Chandra Agrawal [1], Harshal Sakale [1]

[1] Department of Orthopaedics, AIIMS Raipur, Chattisgarh, India.

Address of Correspondence

Dr. Mukund M. Ojha,
AIIMS Raipur, Chattisgarh, India.


In this modern era, limb reconstructive surgeries have become a standardized procedure for malignant tumour of lower limbs. We performed limb salvage surgeries for tumour around the knee with en-bloc resection and subsequent reconstruction with a mega prosthesis. A total of six cases of malignant and locally aggressive tumour around the knee were operated, on from 2017 to 2018, with resection and mega prosthetic reconstruction. Interpretation of functional outcome after surgery was performed with musculoskeletal tumour society score (MSTS). Complications like infection, local recurrence of tumour, implant failure and distant metastases were evaluated during each follow up. Postoperatively, one patient developed superficial infection; the rest cases were uneventful. Patients were regularly followed for one year, and none of them developed any sign of deep infection, local recurrence of tumours, implant failure or distant metastases. At the beginning of treatment, the average MSTS score was 8.83, which showed a significant increment to 25.83 after 12 months of follow up. Albeit few cases were operated on, we draw this inference from our short term experience that mega prosthesis acts as a boon to orthopaedic surgeons in musculoskeletal tumour management, thereby uplifting the quality of life of patients.
Keywords: Limb salvage surgery; Osteosarcoma; Giant cell tumour; Megaprosthesis.


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How to Cite this Article: Kar BK, Ojha MM, Yadav SK, Agrawal AC, Sakale H | Short Term Outcomes of Tumor Resection and Reconstruction by Megaprosthesis Around Knee: An Analysis with Review of Literature | Odisha Journal of Orthopaedics & Trauma | January-June 2021; 42(1): 34-36.

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