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Handbook of Operative Techniques in Orthopaedic Surgical Oncology 2026: Evidence-Based Principles of Tumor Staging, Limb Salvage Resection, and Skelet
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Publisher: Independently Published
Pages: 452
Weight: 2.29
Height: 0.91 Width: 8.50 Depth: 11.00
Language: English
Orthopaedic surgical oncology is defined by commitments that cannot be undone: the biopsy tract that decides whether a limb can be salvaged, the osteotomy level set from marrow signal, the plane a dissection follows around a sarcoma. This reference connects the anatomy of compartments and reactive zones to the operative decisions those structures dictate - staging and margin classification, tract planning, resection region by region, soft tissue and composite resection, and the reconstructions that follow. Written for surgeons who must judge containment on a coronal image and defend the plane they chose at the specimen table.
Surface-by-surface margin planning, decision anchors at every commitment point, worked operative examples, and 125 illustrated figure references turn imaging findings into a written plan you can execute and audit.
What This Book Puts in Your Hands
- Surgical staging and the four classical margins - read margin as a plane of dissection, not a measured distance, and record what tissue formed it at every specimen surface.
- Biopsy tract planning by region - site the tract inside the resection you will eventually perform, and recognize the tract that has already cost a limb.
- The indeterminate soft tissue mass - apply the depth, size, and growth criteria that separate lesions you may excise from lesions you must refer untouched.
- Pelvic, hip girdle, knee, and shoulder girdle resection - control vessels and nerves before the osteotomy, and know which structure decides preservation at each site.
- Re-resection after unplanned excision - define the contaminated volume, including drain tracks, and rebuild the plan around it.
- Endoprosthetic, allograft, and vascularized reconstruction - choose fixation from the bone that will remain and attach soft tissue to something it can heal to.
- Metastatic disease and reconstruction failure - match construct durability to a formal survival estimate, and identify the endpoint of a failing salvage before it arrives.
Open it before your next resection - the decisions your patient's limb depends on, settled while you still have a choice.
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